Provider Demographics
NPI:1326237041
Name:POEPPELMAN, DIANA LILLIAN
Entity Type:Individual
Prefix:MISS
First Name:DIANA
Middle Name:LILLIAN
Last Name:POEPPELMAN
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 1:420 S OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:OH
Mailing Address - Zip Code:45380-1413
Mailing Address - Country:US
Mailing Address - Phone:937-417-2876
Mailing Address - Fax:
Practice Address - Street 1:401 NEIL ARMSTRONG WAY
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-3526
Practice Address - Country:US
Practice Address - Phone:513-409-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist