Doctor Name: | MR. JEAN HERBY DESRAVINS |
NPI Number: | 1366620221 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT23542 |
Business Practice Address: | 7627 Old Thyme Ct Parkland, FL - 330763904 |
Business Phone Number: | 9545581786 |
Business Fax Number: | |
Mailing Address: | 7627 Old Thyme Ct, PARKLAND |
State: | FL |
Postal Code: | 330763904 |
Phone Number: | 9545581786 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2008 |
NPI Last Update Date: | 11/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT23542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |