Individual
MR. BRIAN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 41ST AVE NE, ST PETERSBURG, FL 33703-5003
(727) 366-6512
Mailing address
465 41ST AVE NE, ST PETERSBURG, FL 33703-5003
(727) 366-6512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA17514
FL
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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