Individual
MISS PATRICIA IGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSCS, LMT, RYT
Contact information
Practice address
6626 CENTRAL AVE, ST PETERSBURG, FL 33707-1331
(727) 776-7687
Mailing address
5229 3RD AVE S, ST PETERSBURG, FL 33707-1807
(727) 776-7687
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA53573
FL
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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