Diana Edwards Blanton, PT

Individual provider Active NPI Physical Therapist · Columbus, NC

NPI 1457428401 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1457428401
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
000663 (NC)
Practice address
101 Hospital Drive
St Lukes Hospital
Columbus, NC 28722-6418
Phone
(828) 894-3311
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 000663 NC Yes

Addresses

Primary practice location

101 Hospital Drive
St Lukes Hospital
Columbus, NC 28722-6418

Mailing address

160 Ivie Trail
Columbus, NC 28722
Phone (828) 863-2850

Other names

  • Mrs. Diana Edwards Grice Former name

Other providers in Columbus, NC

All providers in Columbus, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.