Individual
MRS. DIANE H TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7025 N WICKHAM RD, SUITE 111, MELBOURNE, FL 32940-7534
(321) 752-9778
(321) 752-9178
Mailing address
8584 EDEN ISLES LN, MERRITT ISLAND, FL 32952-6800
(321) 795-6007
(321) 779-1332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21028
FL
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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