Individual
MONICA L GREATOREX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3475 US 1 S, SAINT AUGUSTINE, FL 32086-6491
(203) 565-5086
Mailing address
3475 US 1 S, SAINT AUGUSTINE, FL 32086-6491
(203) 565-5086
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA59251
FL
Other
Enumeration date
03/25/2011
Last updated
02/06/2014
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