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Individual

MS. DIANE JOAN JOSEPHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L,CHT,CWS

Contact information

Practice address
26471 CROWN VALLEY PKWY, 102, MISSION VIEJO, CA 92691-6378
(949) 916-2601
(949) 916-2302
Mailing address
816 HOLLOWBROOK CT, SAN MARCOS, CA 92078-0923

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W15939
GROUP ID#
CA
Enumeration date
06/13/2006
Last updated
12/13/2007
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