| Doctor Name: | DIANE L. BRENNAN |
| NPI Number: | 1184711970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T.,S.C.S. |
| License Number: | 009097-1 |
| Business Practice Address: | 6199 Transit Rd Depew, NY - 140431024 |
| Business Phone Number: | 7166840649 |
| Business Fax Number: | 7162684510 |
| Mailing Address: | 6199 Transit Rd, DEPEW |
| State: | NY |
| Postal Code: | 140431024 |
| Phone Number: | 7166840649 |
| Fax Number: | 7166845107 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 009097-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |