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Individual

MS. DIANE ELIZABETH WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2902 ROUTE 130, TENBY PLAZA, DELRAN, NJ 08075-2525
(856) 461-8331
(856) 461-9099
Mailing address
833 CHESTNUT ST, STE 1402, PHILADELPHIA, PA 19107-4404
(800) 321-9999
(267) 339-3761

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MZ00089700
NJ
225100000X
Physical Therapist
Primary
40QA00573900
NJ

Other

Enumeration date
04/05/2006
Last updated
07/01/2016
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