Individual
CARMEN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2500 N VAN DORN ST, APT. 119, ALEXANDRIA, VA 22302-1626
(571) 255-0103
(703) 543-2340
Mailing address
2500 N VAN DORN ST, APT. 119, ALEXANDRIA, VA 22302-1626
(571) 255-0103
(703) 543-2340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000932
VA
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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