Individual
TRAVIS MICHAEL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42501 RIVERA DR, TEMECULA, CA 92592-4416
(951) 326-5648
Mailing address
42501 RIVERA DR, TEMECULA, CA 92592-4416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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