Individual
ASHLEY M DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5190 NW 167TH ST STE 117, MIAMI LAKES, FL 33014-6329
(305) 517-3047
(305) 517-3523
Mailing address
4992 SW 166TH AVE, MIRAMAR, FL 33027-4904
(786) 210-9599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19136
FL
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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