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MRS. DIANE CARROLL MS, OTR/L
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1952727869
Individual Registrant:MRS. DIANE CARROLL MS, OTR/L
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
76 BEACH 216TH ST BREEZY POINT, NY 11697-1509 US
Tel: 347-752-2426 Fax: --
Tel: 347-752-2426 Fax: --
Contact information for business:
76 BEACH 216TH ST. BREEZY PT., NY 11697 US
Tel: 347-752-2426 Fax: --
Tel: 347-752-2426 Fax: --
Registration Information:
NPI: 1952727869
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | NY | 018671 |
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | NY | 018671-1 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
