Kevin David Diana, PTA
NPI #1093201097 in Orange City, Florida
Provider Information
- NPI Number
- 1093201097
- Entity Type
- Individual
- Name
- Kevin David Diana, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 3, 2018
- Last Updated
- Jul 3, 2018
Practice Location
- Address
- 2884 WELLNESS AVE
- City
- Orange City
- State
- Florida
- ZIP Code
- 32763-8426
- Phone
- (386) 774-4404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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