| NPI | 1962633396 |
|---|---|
| Former Name | DIANA ELWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22348) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2020-06-17 |