Individual
ELISA ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4383 NORTHLAKE BLVD, SUITE 309, PALM BEACH GARDENS, FL 33410-6253
(561) 775-4900
(561) 775-0003
Mailing address
4383 NORTHLAKE BLVD, SUITE 309, PALM BEACH GARDENS, FL 33410-6253
(561) 775-4900
(561) 775-0003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA67656
FL
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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