Individual
DIANE LEE SYVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(614) 596-2607
Mailing address
1913 ILLINOIS AVE, BRADENTON, FL 34207
(763) 355-8220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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