Individual
DIANE ILSE WILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-5501
Mailing address
410 S 1ST ST SPC 74, EL CAJON, CA 92019-4724
(619) 228-5291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2702
CA
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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