Individual
DIANE M SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1795
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327999
—
MA
01
—
614130
HARVARD PILGRIM
MA
01
—
711923
TUFTS
MA
01
—
Y65084
BCBS
MA
Enumeration date
03/12/2007
Last updated
01/30/2008
Update your record
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