Individual
FIDEL JOSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
515 14TH AVE, PATERSON, NJ 07504-2283
(215) 982-0524
Mailing address
515 14TH AVE, PATERSON, NJ 07504-2283
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR01079900
NJ
225X00000X
Occupational Therapist
Primary
OC019648
PA
225XP0200X
Pediatric Occupational Therapist
OC019648
PA
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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