Individual
JULIE ANNE MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5089 MANDAVILLA BLVD, GULF BREEZE, FL 32563-8932
(850) 407-1481
Mailing address
5089 MANDAVILLA BLVD, GULF BREEZE, FL 32563-8932
(850) 407-1481
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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