Provider Demographics
NPI:1831368398
Name:DEAL, DIANE MARY (PT)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:MARY
Last Name:DEAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2165 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8809
Mailing Address - Country:US
Mailing Address - Phone:828-247-1588
Mailing Address - Fax:828-247-1692
Practice Address - Street 1:2270 HIGHWAY 74 # A
Practice Address - Street 2:SUITE 341
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-2434
Practice Address - Country:US
Practice Address - Phone:828-247-1588
Practice Address - Fax:828-247-1692
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5837225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist