Macksoud, Diane M

Macksoud, Diane M is an individual health care provider with primary practice located at 285 Promenade St , Providence RI 02908-5794. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Macksoud, Diane M can be contacted via phone (401) 459-4001.

Contact Information

Primary practice address
285 Promenade St Providence RI 02908-5794
Phone: (401) 459-4001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02331 Rhode Island
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X

Profile Details

NPI number 1215244744
LBN Legal business name Macksoud, Diane M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2010
Last updated Sep 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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