Individual
DIANA BYSTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 E COMMONWEALTH AVE, FULLERTON, CA 92831-4026
(216) 772-1030
Mailing address
PO BOX 1806, DURHAM, NC 27702-1806
(216) 772-1030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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