Healthcare Provider Details

I. General information

NPI: 1508029869
Provider Name (Legal Business Name): DIPTI S JOSHI OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11930 BOYETTE RD
RIVERVIEW FL
33569-5601
US

IV. Provider business mailing address

13866 CARLOW PARK DR
RIVERVIEW FL
33579-2149
US

V. Phone/Fax

Practice location:
  • Phone: 813-671-1022
  • Fax:
Mailing address:
  • Phone: 443-996-2927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT19283
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: