Individual
JUDITH TERESA SPARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4496 NE 142ND AVE, WILLISTON, FL 32696-6230
(352) 528-6084
Mailing address
4496 NE 142ND AVE, WILLISTON, FL 32696-6230
(352) 528-6084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA51019
FL
Other
Enumeration date
04/24/2010
Last updated
04/24/2010
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