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Individual

DELIZ MARIE DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21981
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21981
OT LICENSE
FL
Enumeration date
07/13/2021
Last updated
07/13/2021
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