Individual
ELSA DREVYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5915 PONCE DE LEON BLVD, 5TH FLOOR, CORAL GABLES, FL 33146
(305) 284-4535
(305) 284-6128
Mailing address
5915 PONCE DE LEON BLVD, 5TH FLOOR, CORAL GABLES, FL 33146-2435
(305) 284-4535
(305) 284-4569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889746800
—
FL
Enumeration date
05/12/2006
Last updated
04/20/2012
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