KEVIN DAVID DIANA

ORANGE CITY, FL
NPI1093201097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  17272)
Enumeration Date2018-07-03
Last Update Date2018-07-03
Business Address
KEVIN DAVID DIANA PTA
2884 WELLNESS AVE
ORANGE CITY, FL 32763-8426
Phone number: 386-774-4404
Mailing Address
KEVIN DAVID DIANA PTA
120 WILLOWBAY RIDGE ST
SANFORD, FL 32771-7990
Phone number: 321-662-1174
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