Individual
MARCIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22757 SW 65TH AVE, BOCA RATON, FL 33428-6028
(561) 376-0898
Mailing address
22757 SW 65TH AVE, BOCA RATON, FL 33428-6028
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA77877
FL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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