Individual
KALI E DE DYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 20TH ST, VERO BEACH, FL 32960-6615
(321) 960-7879
Mailing address
134 BONFIRE AVE NE, PALM BAY, FL 32907-3163
(321) 960-7879
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30946
FL
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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