DIVINE DELA VEGA AUTREY

PALM BAY, FL
NPI1518212380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  PT31959)
Enumeration Date2012-07-18
Last Update Date2023-11-01
Business Address
DIVINE DELA VEGA AUTREY PT
470 OLD COUNTRY RD SE
PALM BAY, FL 32909-6906
Phone number: 561-201-2240
Mailing Address
DIVINE DELA VEGA AUTREY PT
470 OLD COUNTRY RD SE
PALM BAY, FL 32909-6906
Phone number: 561-201-2240