Decosty, Diane

Decosty, Diane is an sole proprietor health care provider with primary practice located at 4101 Southpoint Dr E , Jacksonville FL 32216-0996. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Decosty, Diane can be contacted via phone (904) 296-6800.

Contact Information

Primary practice address
4101 Southpoint Dr E Jacksonville FL 32216-0996
Phone: (904) 296-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 10886 Florida

Profile Details

NPI number 1548509136
LBN Legal business name Decosty, Diane
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2013
Last updated Feb 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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