Individual
DIANA L FIERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2426 W EDINGER AVE, SANTA ANA, CA 92704-3518
(714) 555-5555
Mailing address
2426 W EDINGER AVE, SANTA ANA, CA 92704-3518
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
CA
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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