Individual
PATRICE DENISE GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2708 NE 14TH STREET, SUITE 5,, BUTTERFLY EFFECTS, POMPANO BEACH,, FL 33064
(888) 880-9270
Mailing address
500 SHELTON RD, HAMPTON, VA 23663-2110
(757) 528-7193
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
222Q00000X
VA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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