Individual
MS. DOMINIQUE ELENA DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
250 S CHICKASAW TRL, ORLANDO, FL 32825-3503
(407) 380-3466
Mailing address
11206 PLANTATION LAKES CIR, SANFORD, FL 32771-7343
(813) 418-2344
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
31062
FL
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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