| William Diez, OTR/OTL | |
|
92 Cedar Hill Dr, Windsor, VT 05089-4436 | |
| (802) 674-2254 | |
| Not Available |
| Full Name | William Diez |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 92 Cedar Hill Dr, Windsor, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710647243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 072.0134237 (Vermont) | Primary |
| Provider Name | Fox Rehab Ot Ct Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912251992 PECOS PAC ID: 1658683123 Enrollment ID: O20150713000619 |
| Mailing Address | Practice Location Address |
|---|---|
| William Diez, OTR/OTL 92 Cedar Hill Dr, Windsor, VT 05089-4436 Ph: () - | William Diez, OTR/OTL 92 Cedar Hill Dr, Windsor, VT 05089-4436 Ph: (802) 674-2254 |
Joleen Mitaly, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Cedar Hill Dr, Windsor, VT 05089 Phone: 207-837-5734 | |
Whitney R Peck, O.T Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 289 County Rd, Windsor, VT 05089 Phone: 802-674-7296 | |
Ms. Donna M Jenkins, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 54 Main St # Ll2, Windsor, VT 05089 Phone: 802-674-4655 Fax: 802-674-4656 |