Individual
SHANNON DONALD DERBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RKT
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
2910 W SAN RAFAEL ST, TAMPA, FL 33629-6023
(813) 541-3505
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1741
FL
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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