Individual
MARCIA S VANDERVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8102 VIALE MATERA, LAKE WORTH, FL 33467-5234
(786) 413-6923
Mailing address
8102 VIALE MATERA, LAKE WORTH, FL 33467-5234
(786) 413-6923
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA89595
FL
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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