Individual
LINDA GAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA0005180
Contact information
Practice address
1401E 162ND AVE, LUTZ, FL 33549-3551
(813) 951-4800
Mailing address
1401E 162ND AVE, LUTZ, FL 33549-3551
(813) 951-4800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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