Individual
MRS. DIANNA EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8699 HOLDER ST, BUENA PARK, CA 90620-3614
(714) 821-3620
Mailing address
5921 GHENT DR, HUNTINGTON BEACH, CA 92649-4641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6666
CA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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