Individual
MRS. MARTINE DELIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 NW 108TH AVE, APT 338, PLANTATION, FL 33322
(954) 638-0158
Mailing address
1501 NW 108TH AVE APT 338, APT 338, PLANTATION, FL 33322-6906
(954) 638-0158
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252Y00000X
—
FL
Enumeration date
03/15/2022
Last updated
01/13/2025
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