Individual
DIANNA BISHOP
Active
Individual
DIANNA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DSC, CERT MDT, C
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002030
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979796
—
VA
01
—
1851555163
MEDICAID QMB
VA
01
—
C05954
MEDICARE GROUP NUMBER
VA
Enumeration date
07/16/2008
Last updated
08/10/2022
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