Individual
DIANNA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2500 WILSHIRE BLVD, LOS ANGELES, CA 90057-4303
(213) 639-0260
Mailing address
6644 BERTRAND AVE, RESEDA, CA 91335-5628
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
07/30/2013
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