Individual
MS. DIANNA L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4606 CLYDE MORRIS BLVD STE 1D, PORT ORANGE, FL 32129-7453
(386) 492-2986
(386) 492-2987
Mailing address
442 NASH LN, PORT ORANGE, FL 32127-9524
(618) 567-6350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27252
FL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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