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Kali E De Dyne

Physical Therapy Assistant in Vero Beach, FL. Individual provider (NPI-1).

NPI number1457930372
StatusActive
Last updated in NPPESApr 7, 2021

Details

NPI
1457930372
Entity type
Individual (NPI-1)
Name
Kali E De Dyne
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 7, 2021
Certification date
Apr 3, 2021
Last updated
Apr 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant30946FLYes

Practice location

2425 20th St
Vero Beach, FL 32960-6615

Phone 321-960-7879

Mailing address

134 Bonfire Ave Ne
Palm Bay, FL 32907-3163

Phone 321-960-7879

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