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Individual

CRAIG ROBERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
753 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5211
(772) 249-6451
Mailing address
753 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5211
(772) 249-6451

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA73373
FL
225700000X
Massage Therapist
MM31067
FL

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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