Individual
MRS. DIANE CHERYL WILLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5988 STETSON HILLS BLVD, COLORADO SPRINGS, CO 80923-3567
(719) 574-3111
(719) 574-2912
Mailing address
2237 US HIGHWAY 2 E, SUITE B, KALISPELL, MT 59901-2812
(406) 756-7878
(406) 309-2579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0012052
CO
Other
Enumeration date
07/27/2009
Last updated
01/20/2017
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