Individual
MR. HENRY M. DAUFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
765 W STATE ROAD 434, LONGWOOD, FL 32750-4936
(407) 831-6801
Mailing address
765 W STATE ROAD 434, LONGWOOD, FL 32750-4936
(407) 831-6801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 23387
FL
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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