Deandre Kelly Shanese Small, PT

NPI #1396312559 in Homosassa, Florida

Provider Information

NPI Number: 1396312559
Entity Type: Individual
Name: Deandre Kelly Shanese Small, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 7, 2021
Last Updated: Jun 7, 2021

Practice Location

Address: 8477 S SUNCOAST BLVD
City: Homosassa
State: Florida
ZIP Code: 34446-5028
Phone: (352) 448-7857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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