Individual
DIDIER ALEXANDRE DESVALLONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11025 SW 84TH ST, MIAMI, FL 33173-3857
(305) 971-1230
Mailing address
11412 SW 133RD CT APT 3, MIAMI, FL 33186-7966
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30747
FL
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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