Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diane Kay Elizondo

Individual provider Occupational Therapy Assistant · NPI 1336031905

Diane Kay Elizondo is an Occupational Therapy Assistant in Fenton, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

806 Williams St
Fenton, MI 48430-2926
Phone: (810) 625-6677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202007494 (MI)

Record details

NPI number1336031905
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 17, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

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