Individual
DIANA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 NW 25TH ST # A-108, DORAL, FL 33172-5921
(786) 717-5649
Mailing address
10200 NW 25TH ST # A-108, DORAL, FL 33172-5921
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT17571
FL
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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