Individual
IVY BETH SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4413 SW BRADBURY STREET, PORT SAINT LUCIE, FL 34953
(954) 309-3114
Mailing address
4413 SW BRADBURY ST, PORT SAINT LUCIE, FL 34953-6057
(954) 309-3114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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