Provider Demographics
NPI:1457587743
Name:FILM, DIANE E (PT)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:E
Last Name:FILM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:8 CENTURY HILL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2193
Mailing Address - Country:US
Mailing Address - Phone:518-690-4406
Mailing Address - Fax:518-220-9220
Practice Address - Street 1:8 CENTURY HILL DR STE 201
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110
Practice Address - Country:US
Practice Address - Phone:518-690-4406
Practice Address - Fax:518-220-9220
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY009415-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist