Individual
DEBRA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3175 NEWTON DR, PENSACOLA, FL 32503-5106
(850) 982-1239
Mailing address
3175 NEWTON DR, PENSACOLA, FL 32503-5106
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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