Individual
MRS. MARY L KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1294 SE 24TH RD, OCALA, FL 34471-6010
(352) 895-2322
(352) 369-4258
Mailing address
PO BOX 6878, OCALA, FL 34478-6878
(352) 895-2322
(352) 369-4258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA51011
FL
Other
Enumeration date
01/15/2008
Last updated
09/23/2009
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