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Individual

DIANE ORSINI TARKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
629 E D ST, PETALUMA, CA 94952-3213
(707) 782-9467
(707) 782-9466
Mailing address
629 E D ST, PETALUMA, CA 94952-3213
(707) 782-9467
(707) 782-9466

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
CBOT1511
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1511
CBOT
CA
Enumeration date
04/04/2008
Last updated
04/04/2008
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