Individual
DIANA BEATRICE SU-ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11201 BENTON ST, DEPT OF OCCUPATIONAL THERAPY 117B, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
PO BOX 897, LOMA LINDA, CA 92354-0897
(909) 796-2002
(909) 799-9898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1982
CA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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