Provider Demographics
NPI:1922257179
Name:DIORIO, CAROLYN STEPHANIE (OTR/L, CHT)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:STEPHANIE
Last Name:DIORIO
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 E WOODHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-1284
Mailing Address - Country:US
Mailing Address - Phone:559-433-9543
Mailing Address - Fax:
Practice Address - Street 1:642 E WOODHAVEN LN
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-1284
Practice Address - Country:US
Practice Address - Phone:559-433-9543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 4830225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand