Organization
HIS & HER BODY TREATS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONA DELAGRACIA LMT (OWNER/ LMT)
(321) 373-2100
Entity
Organization
Contact information
Practice address
3870 DAIRY RD STE 101, MELBOURNE, FL 32904-7605
(321) 373-2100
Mailing address
3870 DAIRY RD STE 101, MELBOURNE, FL 32904-7605
(321) 373-2100
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA69976
FL
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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