Provider Demographics
NPI:1821646936
Name:UHRI, DIANE N (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:N
Last Name:UHRI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18512 MAYALL ST UNIT H
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-1427
Mailing Address - Country:US
Mailing Address - Phone:818-261-0112
Mailing Address - Fax:
Practice Address - Street 1:18512 MAYALL ST UNIT H
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-1427
Practice Address - Country:US
Practice Address - Phone:818-261-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-01
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0438999208100000X
CAPT297364208100000X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation