Organization
ROGERS MASSAGE THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER CORRALES LMT (OWNER)
(321) 439-1361
Entity
Organization
Contact information
Practice address
1061 EAST ALTAMONTE DR, SUITE 1019, ALTAMONTE SPRINGS, FL 32701
(321) 439-1361
Mailing address
1061 E. ALTAMONTE DRIVE, 1019, ALTAMONTE SPRINGS, FL 32701
(321) 439-1361
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MM11608
FL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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