Doctor Name: | DIANE LEE ANTLEY |
NPI Number: | 1083982532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 40QA007269 |
Business Practice Address: | 145 State Park Road Hope, NJ - 07844 |
Business Phone Number: | 9084594128 |
Business Fax Number: | |
Mailing Address: | 547 Watters Rd, HACKETTSTOWN |
State: | NJ |
Postal Code: | 078405701 |
Phone Number: | 9088871754 |
Fax Number: | 9083336262 |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA007269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |