| NPI | 1104856590 |
|---|---|
| Former Name | DIANA MARIE DOWNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 33265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT-004948) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-02-19 |