Individual
MRS. YVELISE PETIT STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5741 SW 109TH AVE, DAVIE, FL 33328-6303
(954) 261-5625
(954) 434-7385
Mailing address
5741 SW 109TH AVE, DAVIE, FL 33328-6303
(954) 261-5625
(954) 434-7385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT4711
FL
2251G0304X
Geriatric Physical Therapist
Primary
PT4711
FL
2251N0400X
Neurology Physical Therapist
PT4711
FL
2251X0800X
Orthopedic Physical Therapist
PT4711
FL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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