Individual
DANIELE DUCROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-4500
(352) 895-2558
Mailing address
253 CARNATION ST, SAINT JOHNS, FL 32259-2221
(352) 895-2558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7394
FL
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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