Individual
MRS. DIANE MARIE REID-VAN ASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
150 N SYKES CREEK PKWY STE 103, MERRITT ISLAND, FL 32953-3488
(321) 459-0303
Mailing address
160 WARING WAY, MERRITT ISLAND, FL 32952-6213
(321) 449-0590
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3166
FL
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3166
LICENSE#
FL
Enumeration date
11/09/2006
Last updated
01/19/2026
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