Individual
VINCE DIAMZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
70 SW CENTURY DR STE 100-107, BEND, OR 97702-3557
(541) 389-7499
Mailing address
8388 AVENIDA CASTRO, RANCHO CUCAMONGA, CA 91730-3406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3346
CA
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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