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JESSICA D BALDWIN BSW, LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1043513757

Individual Registrant:
 JESSICA D BALDWIN BSW, LMT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
871 W OAKLAND PARK BLVD # 101  OAKLAND PARK, FL 33311-1731 US
Tel: 954-567-5730  Fax: --

Contact information for business:
871 W OAKLAND PARK BLVD # 101  WILTON MANORS, FL 33311-1731 US
Tel: 954-567-7530  Fax: --

Registration Information:
NPI: 1043513757
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA 41441

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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