Provider Demographics
NPI:1043232200
Name:LINN, DIANE CHRISTINE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:CHRISTINE
Last Name:LINN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:DIANE
Other - Middle Name:CHRISTINE
Other - Last Name:METGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11007 BRAGG CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:MD
Mailing Address - Zip Code:21795-1446
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:322 E ANTIETAM ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5794
Practice Address - Country:US
Practice Address - Phone:301-766-0836
Practice Address - Fax:301-766-0897
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21225225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD216512Medicare ID - Type Unspecified