Individual
MARIA VASTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2012 MAIN ST, GRAND RIDGE, FL 32442-4149
(448) 206-5524
Mailing address
2012 MAIN ST, GRAND RIDGE, FL 32442-4149
(448) 206-5524
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14845
FL
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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