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Individual

DR. CHERISSE ROMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
195 MATTIE M KELLY BLVD, DESTIN, FL 32541-2811
(850) 650-2423
Mailing address
111 BEAL PKWY NW, FORT WALTON BEACH, FL 32548-4333

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT25538
FL

Other

Enumeration date
04/26/2013
Last updated
04/26/2013
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