Individual
DIANE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25727 NE STATE ROAD 26, MELROSE, FL 32666-6202
(352) 475-3113
Mailing address
579 OAKMONT DR, ORANGE PARK, FL 32073-6739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29506
FL
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us