Individual
MS. DIANA MARY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR
Contact information
Practice address
4650 W SUNSET BLVD, MAILSTOP #56, LOS ANGELES, CA 90027-6062
(323) 669-2118
Mailing address
212 N IRENA AVE, UNIT B, REDONDO BEACH, CA 90277-3258
(310) 316-3261
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
971
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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