Individual
MR. LARRY M OGILVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
961687 GATEWAY BLVD, SUITE 201C, FERNANDINA BEACH, FL 32034-9157
(904) 491-4980
Mailing address
961687 GATEWAY BLVD, SUITE 201C, FERNANDINA BEACH, FL 32034-9157
(904) 491-4980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41179
FL
Other
Enumeration date
10/21/2006
Last updated
07/08/2007
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