Individual
JOANN JODY GALLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LMT
Contact information
Practice address
16215 ENCLAVE VILLAGE DR # 108, TAMPA, FL 33647-5102
(813) 510-9904
Mailing address
16215 ENCLAVE VILLAGE DR # 108, TAMPA, FL 33647-5102
(813) 510-9904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA74868
FL
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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