Lymphatic Wellness Center, LLC
NPI #1386686186 in St Augustine, Florida
Provider Information
- NPI Number
- 1386686186
- Entity Type
- Organization
- Organization Name
- Lymphatic Wellness Center, LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jun 13, 2006
- Last Updated
- Aug 23, 2007
Practice Location
- Address
- 2460 OLD MOULTRIE RD
- Address 2
- SUITE 4
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-4197
- Phone
- (904) 797-8787
Authorized Official
- Name
- MR. SHAUN TAYLOR SMITH
- Title
- OWNER/OPERATOR
- Phone
- (904) 797-8787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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