Organization
ACTION DIVERSIFIED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE C BRONNER OTR/L (PRESIDENT)
(949) 394-6587
Entity
Organization
Contact information
Practice address
65 LONG MDW, IRVINE, CA 92620-2825
(949) 394-6587
Mailing address
17595 HARVARD AVE STE C2230, IRVINE, CA 92614-8516
(949) 394-6587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9591
CA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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