DEANDRE KELLY SHANESE SMALL

HOMOSASSA, FL
NPI1396312559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT36881)
Enumeration Date2021-06-07
Last Update Date2021-06-07
Business Address
DEANDRE KELLY SHANESE SMALL PT
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-448-7857
Mailing Address
DEANDRE KELLY SHANESE SMALL PT
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-448-7857