Individual
ALTHEA GRAVESANDY VASSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12555 ORANGE DR STE 117, DAVIE, FL 33330-4304
(954) 558-4568
Mailing address
15757 PINES BLVD STE 107, PEMBROKE PINES, FL 33027-1207
(954) 558-4568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA101654
FL
Other
Enumeration date
12/22/2022
Last updated
10/15/2024
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