Individual
ELISA MARIAN PHILIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
7825 N DALE MABRY HWY, TAMPA, FL 33614-3286
(813) 443-4724
Mailing address
7825 N DALE MABRY HWY, TAMPA, FL 33614-3286
(813) 443-4724
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA # 56419
FL
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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