MS. Mary A Lange, LMT

NPI #1093837650 in Flagler Beach, Florida

Provider Information

NPI Number: 1093837650
Entity Type: Individual
Name: MS. Mary A Lange, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 210 MOODY BLVD
City: Flagler Beach
State: Florida
ZIP Code: 32136-3372
Phone: (386) 439-6933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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