Individual
KERLINE DIMANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
461 SE LANCASTER AVEUNE, PORT SAINT LUCIE, FL 34984
(772) 285-7529
Mailing address
461 SE LANCASTER AVE, PORT SAINT LUCIE, FL 34984-4770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23434
FL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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