Individual
ALISON GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 FLOWING TIDE DR, ORLANDO, FL 32828-5557
(407) 947-8729
Mailing address
1398 SW 19TH ST, BOCA RATON, FL 33486-6639
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
05/04/2022
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