Individual
SAVANNAH DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
901 N CURTIS RD STE 204, BOISE, ID 83706-1340
(208) 367-3315
Mailing address
2630 E TULARE AVE, VISALIA, CA 93292-5274
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
16672
CA
225XH1200X
Hand Occupational Therapist
Primary
2153
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153
ID OT LICENSE
ID
Enumeration date
07/20/2020
Last updated
07/20/2020
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