Individual
MARIA IRENE GOTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
515 36TH ST W STE D, BRADENTON, FL 34205-2459
(941) 745-1313
Mailing address
1504 BONITA BLUFF CT, RUSKIN, FL 33570-3214
(303) 250-7386
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90529
FL
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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