Individual
DR. DIANE TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
243 TWINLAKE DR, SUNNYVALE, CA 94089-2046
(650) 336-4694
Mailing address
243 TWINLAKE DR, SUNNYVALE, CA 94089-2046
(650) 336-4694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
562
CA
225XP0200X
Pediatric Occupational Therapist
562
CA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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