Individual
MS. MARCIA MARY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1780 S NOVA RD., SUITE 4, SOUTH DAYTONA, FL 32119-1777
(386) 788-4778
(386) 788-8110
Mailing address
1780 SOUTH NOVA ROAD, SUITE 4, SOUTH DAYTONA, FL 32119-1777
(386) 788-4778
(386) 788-8110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60400
FL
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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