Ketelie Desruisseaux
NPI #1659957108 in Greenacres, Florida
Provider Information
- NPI Number
- 1659957108
- Entity Type
- Individual
- Name
- Ketelie Desruisseaux
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Mar 23, 2021
- Last Updated
- Mar 23, 2021
Practice Location
- Address
- 5700 LAKE WORTH RD STE 106
- City
- Greenacres
- State
- Florida
- ZIP Code
- 33463-3213
- Phone
- (561) 439-3991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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