Individual
DAKOTA LADAWN VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739A S NOVA RD, ORMOND BEACH, FL 32174-7332
(386) 671-2626
Mailing address
739A S NOVA RD, ORMOND BEACH, FL 32174-7332
(386) 671-2626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38359
FL
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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