Individual
MR. GEORGE HENRY MCKENNA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7345 W SAND LAKE RD STE 226, ORLANDO, FL 32819-5252
(401) 301-9674
Mailing address
9702 UNIVERSAL BLVD APT 325, ORLANDO, FL 32819-8741
(401) 301-9674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA82847
FL
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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