Individual
DEON LASHAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S FEDERAL HWY, FT LAUDERDALE, FL 33316-2619
(954) 728-1098
Mailing address
1401 S FEDERAL HWY, FT LAUDERDALE, FL 33316-2619
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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