Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 001247 | KY |
N | 225100000X | Physical Therapist | 05001893A | IN |
N | 2251P0200X | Physical Therapist - Pediatrics | 001247 | KY |
N | 2251P0200X | Physical Therapist - Pediatrics | 05001893A | IN |
NPI | 1073606349 |
---|---|
Provider Name | Mrs. Diana Lynn Frank |
First Address | Floyds Knobs, IN 47119-0363 |
Second Address | Floyds Knobs, IN 47119-9419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2006 |
Last Update Date | 09/07/2007 |