Individual
TRICIA DEQUARTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4435 BELLE GROVE DR, FORT PIERCE, FL 34981-5081
(303) 264-9971
Mailing address
4435 BELLE GROVE DR, FORT PIERCE, FL 34981-5081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA100000310
DC
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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