MRS. Ursula Groll, L.M.T.

NPI #1336326057 in Trinity, Florida

Provider Information

NPI Number: 1336326057
Entity Type: Individual
Name: MRS. Ursula Groll, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Jan 24, 2008
Last Updated: Jan 24, 2008

Practice Location

Address: 8823 WAVYEDGE CT
City: Trinity
State: Florida
ZIP Code: 34655-5353
Phone: (727) 375-9184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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