Valdivieso, Deborah
Valdivieso, Deborah is an sole proprietor health care provider with primary practice located at 1022 Florida Ave S , Rockledge FL 32955-2145. 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 / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Valdivieso, Deborah can be contacted via phone (321) 634-3688.Contact Information
Primary practice address
1022 Florida Ave S
Rockledge FL 32955-2145
Phone: (321) 634-3688
Fax: (321) 504-0955
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT3790 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | PT3790 | Florida |
Profile Details
NPI number | 1942328406 |
---|---|
LBN Legal business name | Valdivieso, Deborah |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 26th, 2007 |
Last updated | Jun 5th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942328406 | NPPES |
Florida | MEDICAID | 882160700 | |
Florida | MEDICAID | 889522800 |
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