Individual
JOSEPHINE A DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2745 SW 28TH PL, CAPE CORAL, FL 33914-3847
(239) 220-4514
Mailing address
2745 SW 28TH PL, CAPE CORAL, FL 33914-3847
(239) 220-4514
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
D420-421-52-5240
FL
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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