Individual
DELIZ MARIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
7401 MIAMI LAKES DR, MIAMI LAKES, FL 33014-6818
(786) 638-1675
Mailing address
15670 SW 77TH TER APT 14, MIAMI, FL 33193-3367
(305) 905-8654
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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