Organization
INTEGRATIVE PATH THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELA HERRERA PARDO A.P (OWNER)
(941) 518-5531
Entity
Organization
Contact information
Practice address
239 301 BLVD E, SUITE F, BRADENTON, FL 34208-4430
(941) 518-5531
Mailing address
PO BOX 1621, BRADENTON, FL 34206-1621
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3716
FL
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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