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Individual

MATTHEW SHALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
7310 W MCNAB RD, SUITE 107, TAMARAC, FL 33321-5332
(954) 657-8342
(954) 657-8516
Mailing address
7310 W MCNAB RD, SUITE 107, TAMARAC, FL 33321-5332
(954) 657-8342
(954) 657-8516

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62042
FL

Other

Enumeration date
04/07/2015
Last updated
04/07/2015
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