Individual
DESARAE NICOLE DOHOGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
190 SOUTHPARK BLVD, SAINT AUGUSTINE, FL 32086-4208
(904) 824-1478
(210) 688-9228
Mailing address
190 SOUTHPARK BLVD, SAINT AUGUSTINE, FL 32086-4208
(904) 824-1478
(210) 688-9228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1232891
TX
225100000X
Physical Therapist
Primary
PT36344
FL
Other
Enumeration date
08/20/2013
Last updated
03/27/2024
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