Individual
MRS. DIANE LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
305 CHERRY ST, PHILADELPHIA, PA 19106-1803
(800) 974-6383
Mailing address
106 HILLCREST DR S, MACUNGIE, PA 18062-1608
(610) 730-4196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000341E
PA
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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