Individual
JENNIFER ANN WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
570 OCEAN DR, #501, JUNO BEACH, FL 33408-1952
(954) 491-2225
(954) 491-6862
Mailing address
5223 N DIXIE HWY, OAKLAND PARK, FL 33334-4025
(954) 515-2534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA56926
LICENSED MASSAGE THERAPIST
FL
Enumeration date
02/11/2010
Last updated
02/11/2010
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