National Provider Identifier
Diane Russell Farnham, P.T.
Diane Russell Farnham, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 272-8869.
Profile Overview
- NPI
- 1447478805
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- April 23, 2007
- Last Updated
- July 08, 2007
Practice Location
- 114 W Buffalo St
- Ithaca, NY 14850-4132
Phone: (607) 272-8869
Mailing Address
- 4102 Garrett RD
- Ithaca, NY 14850-9563
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1447478805
- Entity Type
- Individual
- Last Name
- Farnham
- First Name
- Diane
- Middle Name
- Russell
- Name Prefix
- Mrs.
- Credential
- P.T.
- Mailing Street Address
- 4102 Garrett RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9563
- Mailing Country
- US
- Mailing Phone
- (607) 273-3319
- Practice Street Address
- 114 W Buffalo St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4132
- Practice Country
- US
- Practice Phone
- (607) 272-8869
- Enumeration Date
- April 23, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)