Diane Kim, PTA

NPI #1518510361 in Melrose, Florida

Provider Information

NPI Number: 1518510361
Entity Type: Individual
Name: Diane Kim, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 22, 2019
Last Updated: Jul 22, 2019

Practice Location

Address: 25727 NE STATE ROAD 26
City: Melrose
State: Florida
ZIP Code: 32666-6202
Phone: (352) 475-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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