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NPI Code Detail

MEDICARE: MS. DENISE L DIANI PT

MEDICARE: MS. DENISE L DIANI PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistPT14611CA

General Provider Information

NPI Number : 1134479058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISE L DIANI PT
Provider Business Mailing Address
First Line : 2505 CABRILLO COLLEGE DR
Second Line :
City : APTOS
State : CA
Zip : 95003-3166
Country : US
Telephone Number : 831-464-3901
Fax Number : 831-464-3010
Provider Business Practice Location Address
First Line : 2505 CABRILLO COLLEGE DR
Second Line :
City : APTOS
State : CA
Zip : 95003-3166
Country : US
Telephone Number : 831-464-3901
Fax Number : 831-464-3010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2012
Last Update Date : 09/18/2012

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