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Diana Willow Dejesus, OTR/L

Specialist in Chico, CA. Individual provider (NPI-1).

NPI number1255424941
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1255424941
Entity type
Individual (NPI-1)
Name
Ms. Diana Willow Dejesus
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistOT267CAYes

Practice location

2627 Forest Ave
Chico, CA 95928-4384

Phone 530-879-9030 · Fax 530-879-9030

Mailing address

2627 Forest Ave
Chico, CA 95928-4384

Phone 530-879-9030 · Fax 530-879-9030

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