Individual
CARLENE CAMPBELL-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CLT
Contact information
Practice address
7600 SW 57TH AVE, SOUTH MIAMI, FL 33143-5428
(786) 295-7101
Mailing address
PO BOX 566601, PINECREST, FL 33256-6601
(786) 295-7101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0T2220
FL
225XM0800X
Mental Health Occupational Therapist
0T2220
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
0T2220
FL
225XP0200X
Pediatric Occupational Therapist
0T2220
FL
Other
Enumeration date
10/24/2011
Last updated
01/09/2020
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