Individual
WELDON CHARLES DIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
12627 STUDEBAKER RD, NORWALK, CA 90650-2518
(562) 868-4767
Mailing address
3470 E LA JARA ST, LONG BEACH, CA 90805-3847
(562) 688-8305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1666
CA
224ZE0001X
Environmental Modification Occupational Therapy Assistant
1666
CA
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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