Provider Demographics
NPI:1104638675
Name:HOBBS, DEALLEN DEXTER (DPT)
Entity type:Individual
Prefix:
First Name:DEALLEN
Middle Name:DEXTER
Last Name:HOBBS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 ELEVATE AVENUE
Mailing Address - Street 2:APT. C306
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566
Mailing Address - Country:US
Mailing Address - Phone:850-830-4141
Mailing Address - Fax:
Practice Address - Street 1:1823 HURLBURT ROAD
Practice Address - Street 2:STE. 4
Practice Address - City:FT. WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547
Practice Address - Country:US
Practice Address - Phone:850-244-0120
Practice Address - Fax:850-244-0126
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist