Individual
DIANN ARDESSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
14392 VALLEY BLVD, FONTANA, CA 92335-5240
(909) 574-2106
Mailing address
558 CROOKED ARROW DR, DIAMOND BAR, CA 91765-2133
(909) 860-6708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7595
CA
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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