Individual
GUERDA DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
469 CARDINAL CT, KISSIMMEE, FL 34759-4440
(407) 272-3474
Mailing address
4407 S KIRKMAN RD # C-207, ORLANDO, FL 32811-2867
(407) 272-3474
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
25625
FL
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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