Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Stephanie Marcia Petra Diformato, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1992000459

Miss. Stephanie Marcia Petra Diformato, COTA/L is an Occupational Therapy Assistant in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

7 Peyton Pl
Palm Coast, FL 32164-4744
Phone: (386) 793-3898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA 11434 (FL)

Record details

NPI number1992000459
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJanuary 14, 2011
Last updated in NPPESJanuary 14, 2011

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