Stoliker-Diaz, Mary Susan

Stoliker-Diaz, Mary Susan is an individual health care provider with primary practice located at 3525 Loma Vista Rd Ste C , Ventura CA 93003-3165. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Stoliker-Diaz, Mary Susan can be contacted via phone (805) 652-6955.

Contact Information

Primary practice address
3525 Loma Vista Rd Ste C Ventura CA 93003-3165
Phone: (805) 652-6955
Fax: (805) 652-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT2135 California

Profile Details

NPI number 1619051935
LBN Legal business name Stoliker-Diaz, Mary Susan
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619051935 NPPES
California Other OT2135 STATE LICENSE

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