Individual
DINA MARIA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3639 CORTEZ RD W, SUITE 106, BRADENTON, FL 34210-3103
(941) 737-9797
Mailing address
PO BOX 1781, ANNA MARIA, FL 34216-1781
(941) 778-6060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0032272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA0032272
LISCENSED MASSAGE THERAPI
FL
Enumeration date
08/18/2006
Last updated
07/08/2007
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