Individual
DIANA NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2301 N 4TH ST, LONGVIEW, TX 75605-3152
(903) 236-4291
Mailing address
2111 LIVE OAK DR, LONGVIEW, TX 75601-3652
(903) 387-6285
(903) 236-2557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1083319
TX
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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