Individual
ATEA ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 NE SPANISH RIVER BLVD, BOCA RATON, FL 33431-4515
(786) 499-4798
Mailing address
2923 NW 56TH AVE APT F1, LAUDERHILL, FL 33313-1360
(786) 499-4798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA91779
FL
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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