Individual provider · NPI-1

Luisa Diez, rot

Occupational Therapist · Merrillville, IN

NPI number1003900176
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003900176
Entity type
Individual (NPI-1)
Name
Ms. Luisa Diez
Credential
rot
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist31001828aINYes

Practice location

399 E 84th Dr
Merrillville, IN 46410-6484

Phone 219-756-7246 · Fax 219-736-5856

Mailing address

399 E 84th Dr
Merrillville, IN 46410-6484

Phone 219-756-7246 · Fax 219-736-5856

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