Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA 44492 | FL |
NPI | 1003007972 |
---|---|
Provider Name | Ms. Ana Moriah Vanhook |
First Address | Altamonte Springs, FL 32701-3402 |
Second Address | Altamonte Springs, FL 32701-3402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 06/08/2007 |