Provider Demographics
NPI:1942651286
Name:SCHUH, DIANA RENEE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:RENEE
Last Name:SCHUH
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 1:7081 N MARKS AVE STE 104-266
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0232
Mailing Address - Country:US
Mailing Address - Phone:559-259-2177
Mailing Address - Fax:
Practice Address - Street 1:3190 W LA COSTA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-0224
Practice Address - Country:US
Practice Address - Phone:559-435-6905
Practice Address - Fax:559-435-6882
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT18804225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist