Paula Black, LMT

NPI #1386829455 in Eustis, Florida

Provider Information

NPI Number: 1386829455
Entity Type: Individual
Name: Paula Black, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 8, 2008
Last Updated: Sep 12, 2012

Practice Location

Address: 2430 S BAY ST
City: Eustis
State: Florida
ZIP Code: 32726-6363
Phone: (352) 217-5913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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