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Diane
Diane
Costulas
Occupational therapist
Boca Raton, United States
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Florida Health Care Practitioner Data Portal
Full name
Diane Costulas
Job Title
Occupational Therapist
Location
Boca Raton, FL, USA
LIC ID
21804
Current License Expiration Date
28/02/2025
Original Date
04/01/2021
Professional Rank Code
OT
Effective Date
04/01/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PALM BEACH
Practice Location Address Line 1
10541 Santa Laguna Dr
Practice Location Address City
BOCA RATON
Practice Location Address State
FL
Practice Location Address Zipcode
33428
Prescribing Indicator
N
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