Individual
REINALD CHRIS DIMZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2176 LAVENDER CT, SAN JACINTO, CA 92582-3716
(951) 306-9776
Mailing address
2176 LAVENDER CT, SAN JACINTO, CA 92582-3716
(951) 306-9776
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6131
CA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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