Kelly Mcnabb Burgenstock

NPI #1730389420 in Ocoee, Florida

Provider Information

NPI Number: 1730389420
Entity Type: Individual
Name: Kelly Mcnabb Burgenstock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 20, 2007
Last Updated: Mar 1, 2012

Practice Location

Address: 1816 PRAIRIE LAKE BLVD
City: Ocoee
State: Florida
ZIP Code: 34761
Phone: (321) 945-7030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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