Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA61639 | FL |
NPI | 1013287424 |
---|---|
Provider Name | Schneida Pierre |
First Address | Pembroke Pines, FL 33023-1504 |
Second Address | Juno Beach, FL 33408-1952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2012 |
Last Update Date | 03/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MA61639 | DEPARTMENT OF LABOR (01) | FL |