Individual
JUDITH DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7261 S WATERWAY DR, MIAMI, FL 33155-2766
(786) 406-9552
Mailing address
7261 S WATERWAY DR, MIAMI, FL 33155-2766
(786) 406-9552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OTA12521
FL
224Z00000X
Occupational Therapy Assistant
Primary
12521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA12521
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
09/12/2013
Last updated
07/25/2017
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