Individual
LEYA DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
121 E WALNUT ST, LONG BEACH, NY 11561-3517
(516) 432-8168
(516) 432-8168
Mailing address
121 E WALNUT ST, LONG BEACH, NY 11561-3517
(516) 432-8168
(516) 432-8168
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007585
NY
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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