Organization
EASTERN MODALITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE MARTIN-RODRIGUEZ LMT, LPN, MLD-C (CEO/MASSAGE THERAPIST)
(407) 274-5145
Entity
Organization
Contact information
Practice address
3837 N ECONLOCKHATCHEE TRL STE 110, ORLANDO, FL 32817-1600
(800) 289-3088
Mailing address
18739 NATCHEZ ST, ORLANDO, FL 32833-4108
(407) 274-5145
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
06/14/2024
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