Individual
DIAMOND RICH WILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 N BREA BLVD, BREA, CA 92821-2606
(714) 529-6842
Mailing address
1619 W BEACON AVE, ANAHEIM, CA 92802-1514
(714) 273-8979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5602
CA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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