Provider Demographics
NPI:1679786446
Name:DENT, DEBRA CHRISTINE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:CHRISTINE
Last Name:DENT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5411
Mailing Address - Country:US
Mailing Address - Phone:727-744-2462
Mailing Address - Fax:
Practice Address - Street 1:3001 EASTLAND BLVD
Practice Address - Street 2:SUITE 3 B
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-4104
Practice Address - Country:US
Practice Address - Phone:727-797-7600
Practice Address - Fax:727-797-7655
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT75172251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY4629OtherBLUE CROSS BLUE SHIELD
FLY4629OtherBLUE CROSS BLUE SHIELD