| NPI | 1285674085 |
|---|---|
| Former Name | DIANE ZELLEY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005637) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 5022) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |