Healthcare Provider Details

I. General information

NPI: 1497763601
Provider Name (Legal Business Name): DIANA PLINER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 02/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 OLD COURT RD STE 100
PIKESVILLE MD
21208-2891
US

IV. Provider business mailing address

4001A SEVEN MILE LANE
BALTIMORE MD
21215
US

V. Phone/Fax

Practice location:
  • Phone: 410-580-1320
  • Fax: 410-580-1505
Mailing address:
  • Phone: 410-580-1320
  • Fax: 410-580-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: