Individual
MRS. ALISHA NICHOLE ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
17 WOODSIDE DR, PALM COAST, FL 32164-7995
(386) 445-2589
Mailing address
17 WOODSIDE DR, PALM COAST, FL 32164-7995
(386) 445-2589
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA55444
FL
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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