| NPI | 1649582545 |
|---|---|
| Former Name | DIANA F MITSCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042668) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-12-17 |