Individual
LAURIE ANNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
570 OCEAN DR, #501, JUNO BEACH, FL 33408-1952
(954) 491-2225
(954) 491-6862
Mailing address
3920 W BROWARD BLVD, #211, FORT LAUDERDALE, FL 33312-1066
(904) 239-8571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA38721
LICENSED MASSAGE THERAPIST
FL
Enumeration date
12/15/2008
Last updated
12/15/2008
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