Individual
DIANE REY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 FLORAL DR, KISSIMMEE, FL 34743-9416
(407) 219-1352
Mailing address
510 FLORAL DR, KISSIMMEE, FL 34743-9416
(407) 219-1352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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