Individual
CHARLINDA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 HARLEYSVILLE PIKE, SOUDERTON, PA 18964-2139
(267) 205-2996
Mailing address
328 HARLEYSVILLE PIKE, SOUDERTON, PA 18964-2139
(267) 205-2996
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
OC012961
PA
225X00000X
Occupational Therapist
OC012961
PA
Other
Enumeration date
09/15/2014
Last updated
07/01/2022
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