Individual
DIANA RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1220 S ELISEO DR, GREENBRAE, CA 94904-2006
(415) 461-9700
Mailing address
202 CASTRO ST, RICHMOND, CA 94801-2015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4483
CA
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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