Individual
MS. CATHERINE DE VERTEUIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
1720 N CAPPERO DR, SAINT AUGUSTINE, FL 32092-4766
(904) 217-4914
Mailing address
1720 N CAPPERO DR, SAINT AUGUSTINE, FL 32092-4766
(904) 217-4914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 8105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R6F
BC/BS
FL
Enumeration date
12/09/2008
Last updated
11/12/2015
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