Individual
DIANA PATRICIA MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2435 US HIGHWAY 19, SUITE 100, HOLIDAY, FL 34691-3903
(727) 939-2230
(727) 939-2245
Mailing address
951 BROKEN SOUND PKWY NW, SUITE 225, BOCA RATON, FL 33487-3507
(561) 241-9300
(561) 372-0214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT12669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT12669
FLORIDA LICENSE
FL
Enumeration date
09/11/2006
Last updated
11/11/2016
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