Individual
DEBORA WALDBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 SW 52ND AVE APT T120, GAINESVILLE, FL 32608-8301
(352) 425-7090
Mailing address
10000 SW 52ND AVE APT T120, GAINESVILLE, FL 32608-8301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4804
CA
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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