Vicky E Dantzler in Defuniak Springs - Developmental Therapist
Vicky E Dantzler - NPI 1710066576
Vicky E Dantzler is a Developmental Therapist in Defuniak Springs, Florida. Vicky E Dantzler practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Vicky E Dantzler is 1710066576. The last update date is 2020-06-23.
Vicky E Dantzler's current location address is 324 Ralph Long Rd, Defuniak Springs, Florida. You can contact this provider via phone number 8505336018. The mailing address for Vicky E Dantzler is 324 Ralph Long Rd, Defuniak Springs, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Vicky E Dantzler |
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Address | 324 Ralph Long Rd, Defuniak Springs, Florida |
Phone Number | 8505336018 |
Fax Number | |
Sole Proprietor | Y |
Credentials | RN |
NPI Number Detail
NPI Number | 1710066576 |
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Provider Enumeration Date | 2006-11-03 |
Last Updated Date | 2020-06-23 |
Provider Mailing Address Detail
Address | 324 Ralph Long Rd |
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City | Defuniak Springs |
State | Florida (FL) |
Post Code | 324330830 |
Phone Number | 8505336018 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Developmental Therapist |
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Taxonomy | 222Q00000X |
Licence No | RN3378712 |
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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15798500 | FL | -- |
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What is the unique 10-digit identifier code issued to Vicky E Dantzler by the Centers for Medicare & Medicaid Services?
The Vicky E Dantzler has been assigned the NPI (National Provider Identifier) 1710066576 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Vicky E Dantzler is physically located?
The Vicky E Dantzler is physically situated at the following address: 324 Ralph Long Rd, Defuniak Springs, FL, 324330830.
What is the Vicky E Dantzler's specialty and taxonomy code?
The Vicky E Dantzler's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.
On what date did the Vicky E Dantzler receive its 1710066576 assignment from the Centers for Medicare & Medicaid Services?
The Vicky E Dantzler was assigned its 1710066576 by the Centers for Medicare & Medicaid Services on 2006-11-03.
As of what date were the details pertaining to Vicky E Dantzler last refreshed?
The information related to the Vicky E Dantzler, including its address, specialty, and other relevant details, was last updated on 2020-06-23.