Individual
MRS. DIANE HELEN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 KINGS MILL CT, ALBANY, NY 12205-3632
(518) 456-1058
Mailing address
10 KINGS MILL CT, ALBANY, NY 12205-3632
(518) 456-1058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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