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Individual

DIANNE GROSS-GIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL,CHT

Contact information

Practice address
1051 LAS TABLAS RD, TEMPLETON, CA 93465-5603
(805) 434-4885
Mailing address
1420 NEW WINE PL, TEMPLETON, CA 93465-4008
(805) 434-9011

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5179
CA

Other

Enumeration date
03/09/2007
Last updated
07/08/2007
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