Depto, Debra

Depto, Debra is an individual health care provider with primary practice located at 60 Perdido Key Ct , Ponte Vedra FL 32081-0545. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Depto, Debra can be contacted via phone (904) 217-3951.

Contact Information

Primary practice address
60 Perdido Key Ct Ponte Vedra FL 32081-0545
Fax:
Website:

Profile Details

NPI number 1598710741
LBN Legal business name Depto, Debra
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 23rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598710741 NPPES
New York MEDICAID 02683750

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