Lisa Marie Rose

NPI #1821695727 in New Smyrna Beach, Florida

Provider Information

NPI Number: 1821695727
Entity Type: Individual
Name: Lisa Marie Rose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Oct 4, 2020
Last Updated: Oct 4, 2020

Practice Location

Address: 11203 NEWPORT SOUND PL
City: New Smyrna Beach
State: Florida
ZIP Code: 32168-7591
Phone: (386) 215-6471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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