Provider Demographics
NPI:1346203510
Name:HOROWITZ, DIANA FRENCH (MPT)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:FRENCH
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:DIANA
Other - Middle Name:CHRISTINE
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:6238 MANCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6187
Mailing Address - Country:US
Mailing Address - Phone:410-551-0123
Mailing Address - Fax:410-551-0125
Practice Address - Street 1:1215 ANNAPOLIS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1344
Practice Address - Country:US
Practice Address - Phone:410-551-0123
Practice Address - Fax:410-551-0125
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19760225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist