Individual
MARY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 OAK POND DR, CELEBRATION, FL 34747-4208
(407) 284-7534
Mailing address
1015 OAK POND DR, KISSIMMEE, FL 34747-4208
(407) 284-7534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112243500
—
FL
Enumeration date
08/14/2019
Last updated
10/04/2023
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