Individual
MISS ALICIA TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5774 KINGSGATE DR APT D, ORLANDO, FL 32839-4243
(352) 615-5046
Mailing address
5774 KINGSGATE DR APT D, ORLANDO, FL 32839-4243
(352) 615-5046
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA75544
FL
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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