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Individual

JUDITH PEIXOTO GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4260 SW 154TH CT, MIAMI, FL 33185-4259
(305) 632-1108
Mailing address
4260 SW 154TH CT, MIAMI, FL 33185-4259
(305) 632-1108

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 53534
FL

Other

Enumeration date
05/13/2010
Last updated
05/13/2010
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