Individual
MS. DIANE R GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6540
(402) 498-6357
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
576
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100250256-00
—
NE
05
—
100250270-00
—
NE
01
—
39552
BCBS BT
NE
01
—
39727
BCBS ENT
NE
Enumeration date
12/26/2006
Last updated
11/22/2010
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