Individual
MRS. DIANE MICHIE TENGAN HARSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
320 TESCONI CIR, SUITE G, SANTA ROSA, CA 95401-4611
(707) 544-2637
(707) 544-2088
Mailing address
320 TESCONI CIR, SUITE G, SANTA ROSA, CA 95401-4611
(707) 538-3178
(707) 544-2088
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT6629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0066290
BLUE SHIELD
CA
Enumeration date
10/03/2006
Last updated
05/26/2009
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