Individual
ELIZABETH DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10715 76TH ST, OZONE PARK, NY 11417-1141
(718) 843-8081
Mailing address
10715 76TH ST, OZONE PARK, NY 11417-1141
(718) 843-8081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000204-1
NY
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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