Individual
MRS. DIA RIFE
Active
Individual
MRS. DIA RIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305-003200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049-78471
—
VA
01
—
265995
ANTHEM
VA
Enumeration date
10/27/2005
Last updated
12/01/2011
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