Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1003969205 |
---|---|
Provider Name | Ms. Debra Ann De Oliveira |
First Address | Margate, FL 33063-5168 |
Second Address | Margate, FL 33063-5168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 09/07/2007 |