Individual
FAYSSANYA G PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8808 S ISLES CIR, TAMARAC, FL 33321-4406
(954) 793-2813
Mailing address
8808 S ISLES CIR, TAMARAC, FL 33321-4406
(954) 793-2813
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33412
FL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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