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1225485170
LISA DIAZ
COLUMBIA, SC
NPI
1225485170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 1986)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
-- LISA DIAZ COTA
7601 PARLANE RD
COLUMBIA, SC 29223
Phone number: 803-741-9090
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Mailing Address
-- LISA DIAZ COTA
7601 PARKLANE RD
COLUMBIA, SC 29223-6122
Phone number: 803-741-9090
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