Individual
SUSAN DESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1500 N WHITE POINT RD, NICEVILLE, FL 32578-4249
(850) 897-5592
Mailing address
237 GRACIE LN, NICEVILLE, FL 32578-1359
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT33388
FL
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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