Individual
KIMBERLY JILL DAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1645 SE 3RD CT, SUITE 100, DEERFIELD BEACH, FL 33441-4465
(561) 445-9902
Mailing address
101 S OCEAN DR, PH 606, DEERFIELD BEACH, FL 33441-6115
(561) 445-9902
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
40865
FL
Other
Enumeration date
09/03/2009
Last updated
04/05/2010
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