Individual
MS. DIANA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8867 BAY 16TH ST, APT C3, BROOKLYN, NY 11214-5956
(954) 703-9402
Mailing address
8867 BAY 16TH ST, APT C3, BROOKLYN, NY 11214-5956
(954) 703-9402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004425-1
NY
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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