Diane Wallace Koshland, C.M.T
NPI #1124391545 in Albany, California
Provider Information
- NPI Number
- 1124391545
- Entity Type
- Individual
- Name
- Diane Wallace Koshland, C.M.T
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- C.M.T
- Enumeration Date
- Feb 15, 2012
- Last Updated
- Feb 15, 2012
Practice Location
- Address
- 828 SAN PABLO AVE STE 104
- City
- Albany
- State
- California
- ZIP Code
- 94706-1678
- Phone
- (925) 963-1405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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