Individual
MRS. JULIE TEAHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 BIRDWOOD DR, ORANGE PARK, FL 32073-5326
(904) 215-4047
Mailing address
2430 BIRDWOOD DR, ORANGE PARK, FL 32073-5326
(904) 215-4047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019194
FL
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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