Individual
JESSICA ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4242 RIVERSIDE PARK RD, ORLANDO, FL 32810-2872
(407) 399-9478
(407) 362-9889
Mailing address
4242 RIVERSIDE PARK RD, ORLANDO, FL 32810-2872
(407) 399-9478
(407) 362-9889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 17343
FL
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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