Individual
JONATHAN MARK COUTINHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMP, LMT
Contact information
Practice address
12514 PAVILION CT, TOMBALL, TX 77377-9016
(979) 661-1510
Mailing address
12514 PAVILION CT, TOMBALL, TX 77377-9016
(979) 661-1510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109121
FL
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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