Individual
DENISE LOUISE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1528 S WASHINGTON AVE, TITUSVILLE, FL 32780-4713
(321) 747-5051
Mailing address
2000 CHENEY HWY, STE 103, BOX 275, TITUSVILLE, FL 32780
(321) 747-5051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA99855
FL
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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