Individual
DIANE VENTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 W BROADWAY ST, STE 214, OVIEDO, FL 32765-9260
(407) 359-5693
Mailing address
1809 E BROADWAY ST # 122, OVIEDO, FL 32765-8597
(407) 359-5693
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26950
FL
Other
Enumeration date
02/19/2015
Last updated
08/04/2016
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