Provider Demographics
NPI:1316975329
Name:PRICE, DIANA MARIE (OT, CHT)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:MARIE
Last Name:PRICE
Suffix:
Gender:F
Credentials:OT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5206 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-4610
Mailing Address - Country:US
Mailing Address - Phone:954-629-1210
Mailing Address - Fax:
Practice Address - Street 1:1249 STIRLING RD
Practice Address - Street 2:SUITE 7
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3554
Practice Address - Country:US
Practice Address - Phone:954-674-2480
Practice Address - Fax:954-674-2157
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 3065225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand