Diane Mary Killeen in Glendale - Physical Therapist

Diane Mary Killeen - NPI 1649349630

Diane Mary Killeen is a Physical Therapist in Glendale, Arizona. Diane Mary Killeen practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Diane Mary Killeen is 1649349630. The last update date is 2007-07-08.

Diane Mary Killeen's current location address is 19047 N 76th Ave, Glendale, Arizona. You can contact this provider via phone number 6235610499 and fax number 6235615227. The mailing address for Diane Mary Killeen is 19047 N 76th Ave, Glendale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Mary Killeen
Address 19047 N 76th Ave, Glendale, Arizona
Phone Number 6235610499
Fax Number 6235615227
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1649349630
Provider Enumeration Date 2006-11-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 19047 N 76th Ave
City Glendale
State Arizona (AZ)
Post Code 853088304
Phone Number 6235610499
Fax Number 6235615227

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 1673
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1673 AZ PHYSICAL THAERAPY LICENSE

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FAQs about Diane Mary Killeen

What is the unique 10-digit identification code assigned to Diane Mary Killeen by the Centers for Medicare & Medicaid Services?

The Diane Mary Killeen has been issued the NPI (National Provider Identifier) 1649349630, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Diane Mary Killeen is physically located?

The Diane Mary Killeen is situated at the following address: 19047 N 76Th Ave, Glendale, AZ 853088304.

What is Diane Mary Killeen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Diane Mary Killeen is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

When did Diane Mary Killeen receive its 1649349630 assignment?

The Diane Mary Killeen was assigned its 1649349630 on 2006-11-06, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Diane Mary Killeen most recently updated or revised?

The information pertaining to Diane Mary Killeen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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