Individual
DEBORAH DEVOL WALLEN
Active
Individual
DEBORAH DEVOL WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3547
PHYSICAL THERAPY LICENSE
FL
Enumeration date
05/01/2007
Last updated
07/09/2007
Update your record
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