Individual
BRANDY L WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3100 OLD WINTER GARDEN RD, OCOEE, FL 34761-4507
(407) 414-8446
Mailing address
3100 OLD WINTER GARDEN RD, #921, OCOEE, FL 34761-4507
(407) 414-8446
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60272
FL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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