Individual
MS. JOAN A POATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CKTP
Contact information
Practice address
3718 HAVENWOOD RD, MIDDLEBURG, FL 32068-3336
(904) 422-0078
Mailing address
3718 HAVENWOOD RD, MIDDLEBURG, FL 32068-3336
(904) 422-0078
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44555
FL
Other
Enumeration date
09/26/2008
Last updated
07/26/2010
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