Diane Colvin
Individual provider Active NPI Physical Therapist · Dover, PA
NPI 1710016019 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1710016019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT0077266 (PA)
- Practice address
- 3377 Fox Run Rd
Dover, PA 17315-3705 - Phone
- (717) 767-5634
- NPI assigned
- Mar 4, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0077266 | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0077266 | PA | Yes |
Addresses
Primary practice location
3377 Fox Run Rd
Dover, PA 17315-3705
Mailing address
4708 E Prospect Rd
York, PA 17406-8653
Other providers in Dover, PA
- Jennifer R Cederberg
- Central PA Medical Transport LLC
- Lora Kathleen Chesla
- Paul Thomas Ciechoski
- Merrill Alan Cohen
- CPS Counseling Services Inc.
- Holly Hope Cruz
- Gary Czulada
- Kimberly Dacheux
- Marian Demarinis Damewood
All providers in Dover, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.