Individual
MRS. DEBORAH LEA WEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12832 VALLEY RIDGE RD, CLERMONT, FL 34711-6717
(352) 255-5328
Mailing address
12832 VALLEY RIDGE RD, CLERMONT, FL 34711-6717
(352) 255-5328
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA48076
STATE LICENSE
FL
Enumeration date
02/21/2008
Last updated
02/21/2008
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