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NPI Code Detail

MEDICARE: DIANNE SORENSEN PT

MEDICARE: DIANNE SORENSEN 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
1225100000XPhysical TherapistP9829NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
119A9QOTHERNCBCBS

General Provider Information

NPI Number : 1811395957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNE SORENSEN PT
Provider Business Mailing Address
First Line : 149 NEW LEICESTER HWY
Second Line :
City : ASHEVILLE
State : NC
Zip : 28806-1917
Country : US
Telephone Number : 828-258-8800
Fax Number :
Provider Business Practice Location Address
First Line : 149 NEW LEICESTER HWY
Second Line :
City : ASHEVILLE
State : NC
Zip : 28806-1917
Country : US
Telephone Number : 828-225-3838
Fax Number : 828-225-3839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2014
Last Update Date : 08/17/2020

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