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DIANE KAY ELIZONDO

Active Sole Proprietor

DIANE KAY ELIZONDO is a Occupational Therapy Assistant healthcare provider located in FENTON, Michigan. NPI 1336031905 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FENTON, MI

Registration Details

NPI Number
1336031905
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2025 (1.0389868129577 yrs)
Last Updated
Jul 17, 2025
License
5202007494 (MI)
Sole Proprietor
Yes

Practice Information

Address
806 WILLIAMS ST
FENTON, MI, 484302926
Browse MI providers · Browse ZIP 48430
Phone
8106256677
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FENTON, MI

Name Credential NPI
MS. DEBRA ANN BEEVER-GORSKI COTA 1508138140
CHRISTOPHER MITCHELL 1265845580
JAMIE KAY BENEDICT 1073027546
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.