Individual
MRS. JUDITH ELAINE LIEBESPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
502 S KINGS AVE, BRANDON, FL 33511-5922
(813) 857-5871
Mailing address
1832 S RIDGE DR, VALRICO, FL 33594-5547
(813) 653-0459
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA10753
FL
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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