Doctor Name: | DIANA DENISE GEEDEY |
NPI Number: | 1225317720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA, C. PED |
License Number: | 1127 |
Business Practice Address: | 17 Washington St Turbotville, PA - 177728548 |
Business Phone Number: | 5708989192 |
Business Fax Number: | 5706496910 |
Mailing Address: | 17 Washington St, TURBOTVILLE |
State: | PA |
Postal Code: | 177728548 |
Phone Number: | 5708989192 |
Fax Number: | 5706496910 |
NPI Enumeration Date: | 08/15/2011 |
NPI Last Update Date: | 08/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 224L00000X |
License Number: | 1127 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Pedorthist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |