Provider Demographics
NPI:1922254135
Name:SUNDAY, DIANNA JEAN (PT)
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:JEAN
Last Name:SUNDAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7512 S 92ND EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5262
Mailing Address - Country:US
Mailing Address - Phone:918-346-9924
Mailing Address - Fax:
Practice Address - Street 1:4158 S HARVARD AVE STE E2
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2626
Practice Address - Country:US
Practice Address - Phone:918-712-7021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1008225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist