Doctor Name: | DIANE A MURRAY |
NPI Number: | 1689772394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | PTA1264 |
Business Practice Address: | 6723 Deerfoot Pkwy Suite 105 Pinson, AL - 351263011 |
Business Phone Number: | 2056811400 |
Business Fax Number: | |
Mailing Address: | 3153 Mac Ian Ln, BIRMINGHAM |
State: | AL |
Postal Code: | 352423209 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PTA1264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |