Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE RUTH WALLACE, PTA
ActiveDIANE RUTH WALLACE, PTA is a Occupational Therapist healthcare provider located in LA MESA, California. NPI 1265642730 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LA MESA, CA
Registration Details
- NPI Number
- 1265642730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2007 (19.306076462512 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT250 (CA)
Practice Information
- Address
-
9000 WAKARUSA STLA MESA, CA, 919423307Browse CA providers · Browse ZIP 91942
- Phone
- 6197404600
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| STELLA MODERAU | PTA | 1659480788 |
| KELLYANNE ROSE | — | 1003026311 |
| MARIE WIERZBIC | PTA | 1841400926 |
| MICHAEL PODLENSKI | PTA, ATC | 1871773200 |
| MICHELE DELA CRUZ | PTA | 1073790168 |
| MR. STEVE LA BELLA | PTA | 1205001112 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.