MS. Lily C. Van Halen, L.M.T.

NPI #1144520255 in Gainesville, Florida

Provider Information

NPI Number
1144520255
Entity Type
Individual
Name
MS. Lily C. Van Halen, L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Mechanotherapist
Credential
L.M.T.
Enumeration Date
Oct 25, 2010
Last Updated
Oct 25, 2010

Practice Location

Address
1826 NW 10TH ST
State
Florida
ZIP Code
32609-3463
Phone
(310) 908-1173

Specialties & Taxonomy Codes

Specialty
Mechanotherapist

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