Individual
MARJORIE DIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2215 SAN FRANCISCO AVE, LONG BEACH, CA 90806-4150
(562) 532-0251
Mailing address
2215 SAN FRANCISCO AVE, LONG BEACH, CA 90806-4150
(562) 532-0251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F1361203
—
CA
Enumeration date
02/15/2023
Last updated
02/15/2023
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