Individual
MRS. ERICA DAVALT DESTEPHANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1050 N DAVIS ST, JACKSONVILLE, FL 32209-6808
(904) 355-0155
Mailing address
1050 N DAVIS ST, JACKSONVILLE, FL 32209-6808
(904) 355-0155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14367
FL
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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