Individual
MARIE JEANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 SILVER PALMS CIR, DAVENPORT, FL 33837-6213
(863) 651-4774
Mailing address
521 SILVER PALMS CIR, DAVENPORT, FL 33837-6213
(863) 651-4774
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
04/11/2022
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