Individual
VANESSA DYOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5878 BACKUS PEAK WAY, FONTANA, CA 92336-4584
(909) 587-3331
(888) 865-7680
Mailing address
5878 BACKUS PEAK WAY, FONTANA, CA 92336-4584
(909) 587-3331
(888) 865-7680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
922
CA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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