Provider Demographics
NPI:1245079730
Name:STERLING, DIANNE JEAN (PTA)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:JEAN
Last Name:STERLING
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 N DAYFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-1941
Mailing Address - Country:US
Mailing Address - Phone:225-229-5815
Mailing Address - Fax:
Practice Address - Street 1:750 LONGMIRE RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1893
Practice Address - Country:US
Practice Address - Phone:936-647-2862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant