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Individual

MRS. JANICE MARIE DESCHENES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, PT

Contact information

Practice address
4621 RIVER OVERLOOK DR, VALRICO, FL 33596-7878
(813) 417-6832
(813) 651-1700
Mailing address
4621 RIVER OVERLOOK DR, VALRICO, FL 33596-7878
(813) 417-6832
(813) 651-1700

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
15124
MA
2251G0304X
Geriatric Physical Therapist
Primary
PT 21539
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000412000
FL
05
889724700
FL
Enumeration date
08/30/2006
Last updated
02/27/2012
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