Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | ||
Y | 225700000X | Massage Therapist | MA59985 | FL |
N | 226300000X | Kinesiotherapist |
NPI | 1477977718 |
---|---|
Provider Name | Victoria Bell |
First Address | Port Saint Lucie, FL 34983-4605 |
Second Address | Port Saint Lucie, FL 34952-1419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2014 |
Last Update Date | 09/04/2019 |