Doctor Name: | DIANE MARIE URQUHART |
NPI Number: | 1316074933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCTMB |
License Number: | |
Business Practice Address: | 16000 W 9 Mile Rd Suite 550 Southfield, MI - 480754808 |
Business Phone Number: | 2485596277 |
Business Fax Number: | 2485596278 |
Mailing Address: | 12960 Borgman Ave, HUNTINGTON WOODS |
State: | MI |
Postal Code: | 480701035 |
Phone Number: | 2482271845 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |