Individual
MS. JOY IRENE BOUCHARDTHOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 N HAMPTON CT, SANFORD, FL 32773-7316
(407) 474-0360
(407) 328-7557
Mailing address
105 N HAMPTON CT, SANFORD, FL 32773-7316
(407) 474-0360
(407) 328-7557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53616
FL
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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