Individual
MS. DIANE CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1537 NE CEDAR ST, JENSEN BEACH, FL 34957-4808
(772) 208-5071
(772) 261-2108
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
(352) 382-7781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29468
FL
Other
Enumeration date
07/10/2012
Last updated
12/17/2019
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