Diana West, PTA

NPI #1336603059 in Florence, South Carolina

Provider Information

NPI Number: 1336603059
Entity Type: Individual
Name: Diana West, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 27, 2019
Last Updated: Jan 27, 2019

Practice Location

Address: 300 S DARGAN ST
City: Florence
State: South Carolina
ZIP Code: 29506-2537
Phone: (843) 777-3050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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