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Individual

DIANE M WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.T.

Contact information

Practice address
3840 HULEN ST STE 100, FORT WORTH, TX 76107-7269
(817) 569-4395
(817) 569-4517
Mailing address
3840 HULEN ST, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76107-7277
(817) 569-4395
(817) 569-4517

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1044246
TX
2251P0200X
Pediatric Physical Therapist
1044246
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142890601
TX
05
142890602
TX
01
86832T
BCBS
TX
Enumeration date
12/20/2006
Last updated
01/30/2026
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