Individual
MS. DIANNE M PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1573 WEIR ST, MALABAR, FL 32950-3330
(321) 768-2470
Mailing address
1573 WEIR ST, MALABAR, FL 32950-3330
(321) 768-2470
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA39052
FL
Other
Enumeration date
11/01/2006
Last updated
07/21/2022
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