| NPI | 1720352107 |
|---|---|
| Former Name | DIANE LOUISE ZARWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 0564) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1088037) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |