Individual provider · Type 1 NPI

Diana Lynn Panullo

Pediatric Physical Therapist · Roosevelt, NY

NPI number 1336393446 Active

Practice location

380 Washington Ave
Roosevelt, NY 11575-1845

Call (516) 378-2000 Map

Mailing address

PO Box 7620
Wantagh, NY 11793-7620

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X002314-1 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1336393446

Diana Lynn Panullo's National Provider Identifier is 1336393446, issued on Nov 17, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Roosevelt, NY. The record was last updated on Nov 17, 2008.