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Individual

ALEJANDRO DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA-L

Contact information

Practice address
1550 W 84TH ST, HIALEAH, FL 33014-3377
(305) 985-6122
Mailing address
117 NW 42ND AVE APT 1110, MIAMI, FL 33126-5437

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16343
FL

Other

Enumeration date
01/26/2018
Last updated
01/26/2018
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