DIANE DECOSTY

JACKSONVILLE, FL
NPI1548509136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA 10886)
Enumeration Date2013-02-03
Last Update Date2013-02-03
Business Address
-- DIANE DECOSTY COTA/L
4101 SOUTHPOINT DR E
JACKSONVILLE, FL 32216-0996
Phone number: 904-296-6800
Mailing Address
-- DIANE DECOSTY COTA/L
4101 SOUTHPOINT DR E
JACKSONVILLE, FL 32216-0996
Phone number: