Diane Mcinnis, PT

NPI #1861518425 in De Pere, Wisconsin

Provider Information

NPI Number: 1861518425
Entity Type: Individual
Name: Diane Mcinnis, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1142 ORLANDO DR
City: De Pere
State: Wisconsin
ZIP Code: 54115-9484
Phone: (920) 339-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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