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Ms. Diana Lynn Panullo
Pediatric Physical Therapist in Roosevelt, New York
NPI 1336393446

Diana Lynn Panullo is a Pediatric Physical Therapist based in Wantagh, NY and is specialized in Pediatrics. Diana Lynn Panullo practices in Roosevelt, NY. The NPI Number for Diana Lynn Panullo is 1336393446 and holds a License No. 002314-1 (New York).

The current practice location address for Diana Lynn Panullo is 380 Washington Ave, Roosevelt, NY and can be reached out via phone at 516-378-2000.

Location: 380 Washington Ave, Roosevelt, NY, 11793-7620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336393446
Provider Name
Diana Lynn Panullo
Credential
Provider Entity Type
Individual
Gender
Female
Address
380 Washington Ave, Roosevelt, NY, 11793-7620
Phone Number
516-378-2000
Fax Number
Provider Enumeration Date
11/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
380 Washington Ave
City
Roosevelt
State
New York
Zip
11575-1845
Phone Number
516-378-2000
Fax Number
person
Provider Business Mailing Address Details
Address
380 Washington Ave
City
Roosevelt
State
New York
Zip
11575-1845
Phone Number
516-378-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
002314-1 (New York)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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