Individual
JUDY ALICE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
805 KAUFMAN AVE, FORT PIERCE, FL 34950-6542
(772) 216-8954
(772) 595-6646
Mailing address
805 KAUFMAN AVE, FORT PIERCE, FL 34950-6542
(772) 216-8954
(772) 595-6646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA46020
FL
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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