National Provider Identifier
Diane Kottakis
Diane Kottakis is listed in the NPPES registry with a primary specialty of Physical Therapist in Clarence Center, NY and a listed phone number of (732) 995-7784.
Profile Overview
- NPI
- 1083064646
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 15, 2016
- Last Updated
- June 15, 2016
Practice Location
- 5999 Corinne Ln
- Clarence Center, NY 14032-9517
Phone: (732) 995-7784
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1083064646
- Entity Type
- Individual
- Last Name
- Kottakis
- First Name
- Diane
- Mailing Street Address
- 5999 Corinne Ln
- Mailing City
- Clarence Center
- Mailing State
- NY
- Mailing ZIP Code
- 14032-9517
- Mailing Country
- US
- Mailing Phone
- (732) 995-7784
- Practice Street Address
- 5999 Corinne Ln
- Practice City
- Clarence Center
- Practice State
- NY
- Practice ZIP Code
- 14032-9517
- Practice Country
- US
- Practice Phone
- (732) 995-7784
- Enumeration Date
- June 15, 2016
- Last Updated
- June 15, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 038586-1 (NY, Ny License)