Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 866 | CA |
NPI | 1174728240 |
---|---|
Provider Name | Mrs. Diane B Alfoldy |
First Address | San Diego, CA 92129-1109 |
Second Address | San Diego, CA 92123-1637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 08/07/2007 |