Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA92550 | FL |
NPI | 1013590033 |
---|---|
Provider Name | Aurimar Barboza |
First Address | Orlando, FL 32824-5646 |
Second Address | Orlando, FL 32824-8115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2021 |
Last Update Date | 29/04/2021 |