Individual
DIANA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18700 BEACH BLVD STE 120, HUNTINGTON BEACH, CA 92648-2089
(714) 962-6760
Mailing address
18700 BEACH BLVD STE 120, HUNTINGTON BEACH, CA 92648-2089
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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