Individual
MISS FREYA MAGNUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, CPT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1478827
CA
225700000X
Massage Therapist
Primary
35970
CA
Other
Enumeration date
06/13/2015
Last updated
06/13/2015
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