Individual
DIANA LYNN DIFFENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
500 UNIVERSITY DR., EC130, HERSHEY, PA 17033
(800) 243-1455
Mailing address
500 UNIVERSITY DR., EC130, HERSHEY, PA 17033
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020248
PA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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