Individual
DIANA L KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
Mailing address
55K READING RD, EDISON, NJ 08817-6212
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA01029900
NJ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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