Individual
FIONA KATRINA DIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-2019
(646) 459-3676
Mailing address
34 W 83RD ST, APT F, NEW YORK, NY 10024-5256
(516) 448-2013
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
022554-1
NY
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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