Individual
DANIELLE NICOLE DUVERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1425 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-5715
(631) 889-3235
Mailing address
13815 NW 22ND CT, SUNRISE, FL 33323-5306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16568
FL
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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