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Individual

DR. DIANA MELISSA TALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
380 DEMOTT LN, SOMERSET, NJ 08873-2762
(732) 873-2000
Mailing address
13201 ELLESMERE CT, RALEIGH, NC 27614-7938
(732) 421-8638

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA009831
NJ
225100000X
Physical Therapist
Primary
P12693
NC

Other

Enumeration date
05/25/2007
Last updated
05/02/2018
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