Individual
CONCETTINA R BRANCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
43 CASTLE HARBOR IS, FORT LAUDERDALE, FL 33308-6011
(954) 817-6605
Mailing address
43 CASTLE HARBOR IS, FORT LAUDERDALE, FL 33308-6011
(954) 817-6605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA49784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA49784
STATE LICENSE
FL
Enumeration date
02/18/2009
Last updated
02/18/2009
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