| NPI | 1184993966 |
|---|---|
| Former Name | DIANN M BEUTHIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018971) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004932) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-03-07 |