Organization
UPBEAT MUSIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDA KISBER GORDON MT-BC (OWNER)
(904) 993-8940
Entity
Organization
Contact information
Practice address
1401 ARCHER CT, ST JOHNS, FL 32259-3040
(904) 993-8940
Mailing address
1401 ARCHER CT, ST JOHNS, FL 32259-3040
(904) 993-8940
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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