Organization
INTERNATIONAL NEUROMUSCULAR THERAPY I, INC.
Active
Other names
Muscular Rehabilitation Center of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ILANA FAITH SPODAK L.M.T., C.N.M.T (PRINCIPAL)
(561) 642-1408
Entity
Organization
Contact information
Practice address
201 SE 15TH TER, SUITE 212, DEERFIELD BEACH, FL 33441-4464
(561) 642-1408
Mailing address
201 SE 15TH TER, SUITE 212, DEERFIELD BEACH, FL 33441-4464
(561) 642-1408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM11141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM 11141
FLORIDA DEPARTMENT OF HEALTH DIVISION OF QUALITY ASSURANCE
FL
Enumeration date
01/26/2015
Last updated
03/04/2015
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