Individual
LYNETTE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1191 COMMERCE PARK DR, ALTAMONTE SPRINGS, FL 32714-2035
(407) 951-8936
Mailing address
3581 MOSS POINTE PL, LAKE MARY, FL 32746-2434
(407) 928-5600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OAT14781
FL
Other
Enumeration date
10/07/2015
Last updated
09/27/2020
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