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Diane Wallace Koshland, CMT
Massage Therapist in Albany, California
NPI 1124391545

Diane Wallace Koshland is a Massage Therapist based in Albany, CA. Diane Wallace Koshland practices in Albany, CA and has the professional credentials of CMT. The NPI Number for Diane Wallace Koshland is 1124391545 and holds a License No. 10396 (California).

The current practice location address for Diane Wallace Koshland is 828 San Pablo Ave Ste 104, Albany, CA and can be reached out via phone at 925-963-1405.

Location: 828 San Pablo Ave Ste 104, Albany, CA, 94706-1678
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124391545
Provider Name
Diane Wallace Koshland
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
828 San Pablo Ave Ste 104, Albany, CA, 94706-1678
Phone Number
925-963-1405
Fax Number
Provider Enumeration Date
02/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
828 San Pablo Ave Ste 104
City
Albany
State
California
Zip
94706-1678
Phone Number
925-963-1405
Fax Number
person
Provider Business Mailing Address Details
Address
828 San Pablo Ave Ste 104
City
Albany
State
California
Zip
94706-1678
Phone Number
925-963-1405
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
10396 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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