Individual
MRS. GENNIFER ELIZABETH DEKALANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
885 CRITTENDEN AVE, ORANGE CITY, FL 32763-5039
(386) 837-8469
(386) 218-6776
Mailing address
885 CRITTENDEN AVE, ORANGE CITY, FL 32763-5039
(386) 837-8469
(386) 218-6776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20958
FL
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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