Martine Deliard
Early Intervention Provider Agency in Plantation, FL. Individual provider (NPI-1).
NPI number1962150219
StatusActive
Last updated in NPPESJan 13, 2025
Details
- NPI
- 1962150219
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Martine Deliard
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2022
- Certification date
- Jan 13, 2025
- Last updated
- Jan 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 222Q00000X | Developmental Therapist | – | – |
Practice location
1501 Nw 108th AveApt 338
Plantation, FL 33322
Phone 954-638-0158
Mailing address
1501 Nw 108th Ave Apt 338Apt 338
Plantation, FL 33322-6906
Phone 954-638-0158
Other practice locations
1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619
Fort Lauderdale, FL 33316-2619
Phone 954-728-1123 · Fax 954-779-2316
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