Individual
MRS. DEBRA L RAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7020
Mailing address
1813 DAVIDSON ST, JACKSONVILLE, FL 32207-5444
(904) 399-2325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 1016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880030800
—
FL
Enumeration date
01/30/2007
Last updated
05/27/2008
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