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NPI Code Detail

MEDICARE: DIANA ELIZABETH WILBUR PT, DPT

MEDICARE: DIANA ELIZABETH WILBUR PT, DPT
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
1225100000XPhysical TherapistCP052792TIN
2225100000XPhysical TherapistPT872500DC
3225100000XPhysical TherapistCP049196TLA

General Provider Information

NPI Number : 1427901347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA ELIZABETH WILBUR PT, DPT
Provider Business Mailing Address
First Line : 2508 ELVANS RD SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-3508
Country : US
Telephone Number : 941-780-1251
Fax Number :
Provider Business Practice Location Address
First Line : 600 MARY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1658
Country : US
Telephone Number : 812-450-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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