Individual
DIANE USHUPUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10162 BENTWOOD CIR, HIGHLANDS RANCH, CO 80126-7866
(314) 458-8170
Mailing address
10162 BENTWOOD CIR, HIGHLANDS RANCH, CO 80126-7866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10381
CT
225100000X
Physical Therapist
Primary
2007030495
MO
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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