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MR. JEAN HERBY DESRAVINS PHYSICAL THERAPIST
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1366620221
Individual Registrant:MR. JEAN HERBY DESRAVINS PHYSICAL THERAPIST
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
7627 OLD THYME CT PARKLAND, FL 33076-3904 US
Tel: 954-558-1786 Fax: --
Tel: 954-558-1786 Fax: --
Contact information for business:
7627 OLD THYME CT PARKLAND, FL 33076-3904 US
Tel: 954-558-1786 Fax: --
Tel: 954-558-1786 Fax: --
Registration Information:
NPI: 1366620221
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | PT23542 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
