Provider Demographics
NPI:1891205639
Name:CAGLAYAN, DIANA B (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:B
Last Name:CAGLAYAN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:B
Other - Last Name:GOLDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:143 MANGROVE MANOR DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-3552
Mailing Address - Country:US
Mailing Address - Phone:516-670-4473
Mailing Address - Fax:
Practice Address - Street 1:14920 CASEY RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2317
Practice Address - Country:US
Practice Address - Phone:813-422-4813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-06
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021707225XP0200X, 225X00000X
FL22194225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics