Provider Demographics
NPI:1114144045
Name:ORRISON, DIANNE
Entity Type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:
Last Name:ORRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1464 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-1939
Mailing Address - Country:US
Mailing Address - Phone:610-326-9681
Mailing Address - Fax:
Practice Address - Street 1:1464 MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-1939
Practice Address - Country:US
Practice Address - Phone:610-326-9681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE001444L225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant