Individual
DIANA NICOLE DE LA OSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
1318 E 6TH AVE, TALLAHASSEE, FL 32303-6506
(850) 403-4715
Mailing address
1318 E 6TH AVE, TALLAHASSEE, FL 32303-6506
(850) 403-4715
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT43505
FL
2255A2300X
Athletic Trainer
AL5989
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
03/25/2026
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