| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DIANE KHALSA | 1801306212 | 2023-01-22 |
Diane Khalsa is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801306212. Registration indicates Diane Khalsa is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapy Assistant (Occupational Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Diane Khalsa COTA/L |
| Practice Office Address | 2022 E MULBERRY DR PHOENIX, AZ US |
| Practice Office Telephone | 9047389757 |
| Mailing Address | 2022 E MULBERRY DR PHOENIX, AZ 850167218 US |
| Business Telephone | 9047389757 |
| Code | Practice | License No State |
|---|---|---|
| 224Z00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant Occupational Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 6141
AZ |