Individual
CHRISTINA KOCOUREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8901 SW 172ND TER, PALMETTO BAY, FL 33157-4559
(786) 370-8736
Mailing address
8901 SW 172ND TER, PALMETTO BAY, FL 33157-4559
(786) 370-8736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100987
FL
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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