Individual
DIANA KANETI MLADENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 IMPERIAL GOLF COURSE BLVD, NAPLES, FL 34110-1085
(239) 591-4800
Mailing address
10232 KENTUCKY ST, BONITA SPRINGS, FL 34135-4868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20982
FL
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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