Individual
MR. DAVID EARL PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1699 SE LYNGATE DR, PORT ST LUCIE, FL 34952-5016
(772) 521-6834
Mailing address
1699 SE LYNGATE DR, PORT ST LUCIE, FL 34952-5016
(772) 521-6834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9800
FL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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