Healthcare Provider Details

I. General information

NPI: 1841271830
Provider Name (Legal Business Name): DIANNE D. EPPLEIN, R.P.T & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 NEWTOWN RD
VIRGINIA BEACH VA
23462-1116
US

IV. Provider business mailing address

818 NEWTOWN RD
VIRGINIA BEACH VA
23462-1116
US

V. Phone/Fax

Practice location:
  • Phone: 757-473-8016
  • Fax: 757-473-3580
Mailing address:
  • Phone: 757-473-8016
  • Fax: 757-473-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIANNE D EPPLEIN
Title or Position: PRESIDENT
Credential: PT
Phone: 757-473-8016