IndividualActive
Nicole Diaz, CTRS
NPI 1407245053 · Recreation Therapist · Decatur, GA
Provider details
- NPI number
- 1407245053
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
- License
- 54294
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Approximate (ZIP-level) locationGet directions
Mailing address
1670 Clairmont Rd
Decatur, GA 30033-4004
Registry dates
- Enumerated
- 2015-01-21
- Last updated
- 2015-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.