Kelly Mcnabb Burgenstock

NPI 1730389420 - Massage Therapist - 225700000X

NPI Details
NPI 1730389420
Gender Female
Enumeration Date 07/20/2007
Last Updated 03/01/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1816 PRAIRIE LAKE BLVD
OCOEE FL, 34761, US
Phone (321) 945-7030
Fax
Business Location
16 JOINER STREET
WINTER GARDEN FL, 34787-4204, US
Phone (321) 945-7030
Fax
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number 27030
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According to our database, Kelly Mcnabb Burgenstock NPI is 1730389420, taxonomy code is 225700000X and license number is 27030, license state is located at Florida. Kelly Mcnabb Burgenstock physically located at 1816 Prairie Lake Blvd, Ocoee FL, 34761. NPI Number Kelly Mcnabb Burgenstock has the Individual type.

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1730389420 NPI number is provided on an as is basis without warranty of any kind. 1730389420 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Mcnabb Burgenstock are for informational purposes only.