Individual
DEIDRA CANTRELL MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6965 PIAZZA GRANDE AVE #210, 210-4, ORLANDO, FL 32835
(804) 931-6864
(240) 483-4175
Mailing address
12030 SILVERLAKE PARK DR, WINDERMERE, FL 34786-9480
(804) 931-6864
(240) 483-4175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089767
—
OH
05
—
3810025110
—
WV
Enumeration date
02/20/2008
Last updated
04/16/2018
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