Individual
MS. DAPHNE M WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL, RN.
Contact information
Practice address
3124 TOBAGO AVE, CLERMONT, FL 34711
(954) 629-8161
Mailing address
3124 TOBAGO AVE, CLERMONT, FL 34711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9210918
FL
225X00000X
Occupational Therapist
Primary
5733
FL
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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