Individual
DIANA WASHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSPT
Contact information
Practice address
151 FRIES MILL RD, BLDG. 600 STE. 1, TURNERSVILLE, NJ 08012-2016
(856) 374-3707
(856) 374-3709
Mailing address
314 COOPER ST, WOODBURY, NJ 08096-2708
(856) 686-1580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00518300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMERIHEALTH
0533312000
NJ
01
—
P00228820
RAILROAD MCR
NJ
Enumeration date
12/11/2006
Last updated
07/08/2007
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