Provider Demographics
NPI:1386112969
Name:BELL, DIANE LAURA (PT)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:LAURA
Last Name:BELL
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 1:19190 OLNEY MILL RD
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1260
Mailing Address - Country:US
Mailing Address - Phone:240-740-3400
Mailing Address - Fax:301-570-2886
Practice Address - Street 1:19190 OLNEY MILL RD
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1260
Practice Address - Country:US
Practice Address - Phone:240-740-3400
Practice Address - Fax:301-570-2886
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist