Provider Demographics
NPI:1477074888
Name:MANN, DIANNE (DPT)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:
Last Name:MANN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DIANNE
Other - Middle Name:
Other - Last Name:KILGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:808 OLD PITTSBORO RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-3017
Mailing Address - Country:US
Mailing Address - Phone:920-470-9830
Mailing Address - Fax:
Practice Address - Street 1:808 OLD PITTSBORO RD UNIT A
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-3017
Practice Address - Country:US
Practice Address - Phone:920-470-9830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist