Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA51908 | FL |
NPI | 1013156900 |
---|---|
Provider Name | Catherine E. Lozada Santee |
First Address | Fort Pierce, FL 34982-6939 |
Second Address | Fort Pierce, FL 34982-6939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2009 |
Last Update Date | 01/10/2010 |