Individual
MRS. MAGALY DIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1100 E NELSON RD, MOSES LAKE, WA 98837-2360
(509) 765-6788
Mailing address
PO BOX 359, BEVERLY, WA 99321-0359
(509) 790-8174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60592198
WA
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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