Individual
DIANE MASSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4460 N CHESTNUT ST, COLORADO SPRINGS, CO 80907-3813
(719) 635-7844
Mailing address
21 GRANT AVE, MANITOU SPRINGS, CO 80829-1819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5363
CO
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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