Doctor Name: | ASHLEY DIIENNO |
NPI Number: | 1588906523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT017455 |
Business Practice Address: | 3075 W Ridge Pike Eagleville, PA - 194031534 |
Business Phone Number: | 6102654700 |
Business Fax Number: | |
Mailing Address: | 217 Red Haven Dr, NORTH WALES |
State: | PA |
Postal Code: | 194541442 |
Phone Number: | 2672634034 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2013 |
NPI Last Update Date: | 03/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT017455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |