Doctor Name: | FRITZELLYN CANON DUBOSE |
NPI Number: | 1487978987 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT25047 |
Business Practice Address: | 1599 Tropical Ct Tavares, FL - 327784340 |
Business Phone Number: | 3527429856 |
Business Fax Number: | |
Mailing Address: | 15630 Se 93rd Ave, SUMMERFIELD |
State: | FL |
Postal Code: | 344915621 |
Phone Number: | 3213620232 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2010 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT25047 |
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 |