Theresa Lynn Diaz
Occupational Therapy Assistant in Waterford, MI. Individual provider (NPI-1).
NPI number1104733401
StatusActive
Last updated in NPPESAug 25, 2026
Details
- NPI
- 1104733401
- Entity type
- Individual (NPI-1)
- Name
- Theresa Lynn Diaz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2026
- Certification date
- Aug 25, 2026
- Last updated
- Aug 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5202005643 | MI | Yes |
Practice location
2409 Pine Orchard DrWaterford, MI 48329-3970
Phone 248-605-5921
Mailing address
2409 Pine Orchard DrWaterford, MI 48329-3970
Phone 248-605-5921
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Other Occupational Therapy Assistant providers in Waterford, MI
- Lisa Lynn Bird, COTA/LNPI 1730849423
- Sommer V Collins, COTALNPI 1043610918
- Lisa Gorski, COTANPI 1346663630
- Rebecca GwinNPI 1598178949
- Daniel MalloryNPI 1568861078
All 6 Occupational Therapy Assistant providers in Waterford · All 1,575 providers in Waterford
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