Organization
20 WEST
Active
Organization
20 WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA ANNETTE DAVENPORT (OWNER)
(941) 475-0020
Entity
Organization
Contact information
Practice address
20 W WENTWORTH ST, ENGLEWOOD, FL 34223-2949
(941) 475-0020
(941) 475-9131
Mailing address
20 W WENTWORTH ST, ENGLEWOOD, FL 34223-2949
(941) 475-0020
(941) 475-9131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM21062
FL
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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