Individual
DIANE ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8491 NW 17TH ST, DORAL, FL 33126-1025
(305) 456-5542
Mailing address
9250 LITTLE RIVER DR, MIAMI, FL 33147-3245
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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