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Individual

MS. DIAMOND JHANE SMALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1001 ALABASTER WAY FL 32725, DELTONA, FL 32725-4324
(386) 221-2723
Mailing address
1001 HARTFORD DR, DELAND, FL 32724-2927
(386) 337-5712

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
31612
FL

Other

Enumeration date
03/29/2023
Last updated
03/29/2023
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