DIANE KHALSA

PHOENIX, AZ
NPI1801306212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  6141)
Enumeration Date2017-10-11
Last Update Date2023-01-22
Business Address
DIANE KHALSA COTA/L
2022 E MULBERRY DR
PHOENIX, AZ 85016-7218
Phone number: 904-738-9757
Mailing Address
DIANE KHALSA COTA/L
2022 E MULBERRY DR
PHOENIX, AZ 85016-7218
Phone number: 904-738-9757
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