Individual
DIANNE SORENSEN
Active
Individual
DIANNE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P9829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19A9Q
BCBS
NC
Enumeration date
12/05/2014
Last updated
08/17/2020
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