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Individual

CHARINA MONTON DESAULNIERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
19376 SW 65TH ST, SUITE 102, FORT LAUDERDALE, FL 33332-3362
(954) 252-2705
(954) 252-0524
Mailing address
19376 SW 65TH ST, SUITE 102, FORT LAUDERDALE, FL 33332-3362
(954) 252-2705
(954) 252-0524

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT19506
FL
2251P0200X
Pediatric Physical Therapist
Primary
PT19506
FL

Other

Enumeration date
02/26/2010
Last updated
02/26/2010
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