Individual
ERIN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 E LEMON AVE, GLENDORA, CA 91741-3709
(858) 531-4655
Mailing address
1158 E LEMON AVE, GLENDORA, CA 91741-3709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/06/2021
Last updated
05/06/2021
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