Active NPIIndividual provider

Betty J Diaz, COTA/L

Occupational Therapy Assistant in Southbridge, Massachusetts

NPI Number1255793808
Practice location
63 Worcester St, Southbridge, MA 01550-3407
Fax
—
Last updated
March 23, 2016

Betty J Diaz is an Occupational Therapy Assistant based in Southbridge, MA. Betty J Diaz practices in Southbridge, MA and has the professional credentials of COTA/L. The NPI Number for Betty J Diaz is 1255793808 and holds a License No. 1756 (MA). The current practice location address for Betty J Diaz is 63 Worcester St, Southbridge, MA 01550-3407 and can be reached out via phone at 774-230-8641.

Provider Profile Details

NPI Number
1255793808
Provider Name
Betty J Diaz
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
63 Worcester St, Southbridge, MA 01550-3407
Phone Number
774-230-8641
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2016
Last Update Date
March 23, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Worcester St
Southbridge, MA 01550-3407
Zip
01550-3407
Phone Number
774-230-8641
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
Po Box 127
63 Worcester St
Southbridge, MA 01550-0127
City
Southbridge
State
MA
Zip
01550-0127
Phone Number
774-230-8641

License Information

License Number
1756
License State
MA
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Betty J Diaz, COTA/L?

The NPI number of Betty J Diaz, COTA/L is 1255793808. It was assigned on March 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Betty J Diaz, COTA/L?

Betty J Diaz, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 1756.

Where does Betty J Diaz, COTA/L practice?

The practice location is 63 Worcester St, Southbridge, MA 01550-3407. The office can be reached at 774-230-8641 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255793808 directly on the NPPES registry website.

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