Individual
CARLOS IVAN DIAZ-RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553
(925) 372-2216
Mailing address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT13234
CBOT
CA
Enumeration date
07/14/2017
Last updated
07/21/2022
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