Individual
MS. DIANA LEE MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA 7665
Contact information
Practice address
817 OAK ST, INVERNESS, FL 34452-6415
(352) 860-2222
(352) 860-2223
Mailing address
817 OAK ST, INVERNESS, FL 34452-6415
(352) 860-2222
(352) 860-2223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 7665
FL
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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