Healthcare Provider Details

I. General information

NPI: 1689760209
Provider Name (Legal Business Name): ZASKIA R. DIAZ BRS, OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER BLIND REHAB. CENTER (124) 7305 NORTH MILITARY TRAIL
WEST PALM BEACH FL
33410-6400
US

IV. Provider business mailing address

13592 86TH ROAD NORTH
WEST PALM BEACH FL
33412
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-5582
  • Fax: 561-422-5580
Mailing address:
  • Phone: 561-422-5582
  • Fax: 561-422-5580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: