Individual
MRS. DIANA FRANCIS NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8520
Mailing address
35 LEEDS BLVD, FARMINGVILLE, NY 11738-1147
(631) 698-4032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
154
NY
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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