Individual
MR. DAVID JAY DOCKSWELL
Active
Individual
MR. DAVID JAY DOCKSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT19164
PT LICENSE
FL
Enumeration date
01/23/2008
Last updated
01/23/2008
Update your record
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