Individual
MS. BRIDIGET L JACKSON-GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
570 OCEAN DR, 501, JUNO BEACH, FL 33408-1952
(954) 491-2225
(954) 491-6862
Mailing address
4407 SHERIDAN ST, HOLLYWOOD, FL 33021-3513
(954) 893-7233
(954) 491-6862
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 47120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 47120
MASSAGE LICENSE
FL
Enumeration date
12/20/2007
Last updated
12/20/2007
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