Individual
JULIE L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4400 N HIGHWAY 19A # 12, MOUNT DORA, FL 32757-2032
(352) 357-5000
Mailing address
4400 N HIGHWAY 19A # 12, MOUNT DORA, FL 32757-2032
(352) 357-5000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA36704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2690
FLORIDA BLUE
FL
Enumeration date
10/30/2012
Last updated
10/30/2012
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