Organization
MD THERAPY CENTER
Active
Other names
MDTC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAURY DIAZ MA,OTR/L (OWNER/THERAPIST)
(917) 664-2863
Entity
Organization
Contact information
Practice address
16239 NW 84TH AVE, MIAMI LAKES, FL 33016-6131
(917) 664-2863
Mailing address
16239 NW 84TH AVE, MIAMI LAKES, FL 33016-6131
(917) 664-2863
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
16398
FL
225XP0200X
Pediatric Occupational Therapist
Primary
16398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011953900
—
FL
Enumeration date
02/29/2016
Last updated
02/29/2016
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