Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DAWN MARIE AGNESE DIAZ, PT
Active Sole ProprietorMRS. DAWN MARIE AGNESE DIAZ, PT is a Pediatric Occupational Therapy healthcare provider located in LAKE RONKONKOMA, New York. NPI 1679774921 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1679774921
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2007 (19.174030797027 yrs)
- Last Updated
- Jul 8, 2007
- License
-
020827 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
137 FOSTER RDLAKE RONKONKOMA, NY, 117794310Browse NY providers · Browse ZIP 11779
- Phone
- 6315880104
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
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.