Individual
PAIGE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 33441-1814
(954) 603-7885
Mailing address
4055 GALLEMORE LN, SHREVEPORT, LA 71107-8602
(318) 572-1017
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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