Individual
DIANE DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 IMPALA PL, DAVIS, CA 95616-5713
(530) 756-3872
Mailing address
1208 IMPALA PL, DAVIS, CA 95616-5713
(530) 756-3872
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6306
CA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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