Individual
MRS. INGRID E CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4834 NW 14TH DR, COCONUT CREEK, FL 33063-3950
(754) 235-1039
Mailing address
4834 NW 14TH DR, COCONUT CREEK, FL 33063-3950
(754) 235-1039
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40628
FL
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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