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NPI Code Detail

MEDICARE: ROSEMARY DIAZ DOT, OTR/L

MEDICARE: ROSEMARY DIAZ DOT, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist24346FL

General Provider Information

NPI Number : 1265962245
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY DIAZ DOT, OTR/L
Provider Business Mailing Address
First Line : 1850 W 56TH ST APT 2407
Second Line :
City : HIALEAH
State : FL
Zip : 33012-7384
Country : US
Telephone Number : 786-390-7561
Fax Number :
Provider Business Practice Location Address
First Line : 5470 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-2105
Country : US
Telephone Number : 305-456-2646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2017
Last Update Date : 10/09/2023

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