Individual
BARBARA MARY REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
8216 N.W.4TH PLACE, GAINESVILLE, FL 32607
(352) 870-9859
Mailing address
8216 NW 4TH PL, GAINESVILLE, FL 32607-1513
(352) 870-9859
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA14093
FL
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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