Individual
ANDREA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
950 W D ST, ONTARIO, CA 91762-3026
(909) 459-2500
Mailing address
2955 SEQUOIA AVE, FULLERTON, CA 92835-2040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17288
CA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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