Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 11-02270 | KS |
NPI | 1558558411 |
---|---|
Provider Name | Ms. Diana Christine Torline |
First Address | Newton, KS 67114-0308 |
Second Address | Newton, KS 67114-0308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 25/09/2007 |