Individual
MRS. ANNE MARIE DERIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13069 SIR ROGERS CT S, JACKSONVILLE, FL 32224-1611
(904) 821-7956
Mailing address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 821-7956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22026
FL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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