Individual
MRS. DIANE MICHELLE MUNAFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
101 MILLS PL, NEW LEBANON, OH 45345-1430
(937) 687-1311
(937) 687-3991
Mailing address
7111 S STIVERS RD, P.O. BOX 95, GERMANTOWN, OH 45327-8560
(513) 646-4073
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT-00504
OH
Other
Enumeration date
11/22/2012
Last updated
11/22/2012
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