Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT18486 | FL |
Y | 2251G0304X | Physical Therapist - Geriatrics | PT18486 | FL |
N | 2251N0400X | Physical Therapist - Neurology | PT18486 | FL |
NPI | 1164527909 |
---|---|
Provider Name | Dianna Saunders |
First Address | Gainesville, FL 32608-1135 |
Second Address | Gainesville, FL 32608-1135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 13/07/2007 |