Individual
MRS. DONNA PEARL COMITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1244 BROOKSIDE DR, DEFUNIAK SPRINGS, FL 32433-8881
(843) 240-1400
Mailing address
1244 BROOKSIDE DR, DEFUNIAK SPRINGS, FL 32433-8881
(843) 240-1400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60205
FL
Other
Enumeration date
11/17/2009
Last updated
09/01/2010
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