Provider Demographics
NPI:1770955221
Name:FREYALDENHOVEN, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:FREYALDENHOVEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7269
Mailing Address - Country:US
Mailing Address - Phone:615-656-0379
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:3135 KIRBY WHITTEN RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2860
Practice Address - Country:US
Practice Address - Phone:901-213-2900
Practice Address - Fax:901-213-0004
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist