Organization
THERAPY BY DESIGN
Active
Other names
OT By Design
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LARA OTR/L (PRINCIPAL/OCCUPATIONAL THERAPIST)
(917) 312-2252
Entity
Organization
Contact information
Practice address
8305 BERGENLINE AVE APT 8, NORTH BERGEN, NJ 07047-5059
(917) 312-2252
Mailing address
8305 BERGENLINE AVE APT 8, NORTH BERGEN, NJ 07047-5059
(917) 312-2252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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