| NPI | 1720040561 |
|---|---|
| Former Name | DIANNE MARGARET SHINEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT014914) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202544) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-02-21 |