Individual
ANGELA MARIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6100 210TH ST N, FOREST LAKE, MN 55025-9617
(651) 982-8100
Mailing address
9951 STACY TRL, CHISAGO CITY, MN 55013-9531
(651) 335-7919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101785
MN
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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