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Individual

MRS. DIANA LYNN RICHMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1919 STATE ST, SUITE 442, NEW ALBANY, IN 47150-4929
(812) 941-0012
(812) 941-0117
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004730
KY
225100000X
Physical Therapist
Primary
05006223A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200479450
IN
Enumeration date
02/21/2007
Last updated
12/08/2020
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