Individual
MRS. DIANE VORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST A
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
OOO533-1
NY
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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