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MOIRA REBECCA DEANE

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

Registrant NPI Number: 1023617719

Individual Registrant:
 MOIRA REBECCA DEANE 
Gender: F
Sole Proprietor

Location and contact information for practice:
17021 N BAY RD APT 301  SUNNY ISLES BEACH, FL 33160-4204 US
Tel: 305-332-6950  Fax: --

Contact information for business:
17021 N BAY RD APT 301  SUNNY ISLES BEACH, FL 33160-4204 US
Tel: 305-332-6950  Fax: --

Registration Information:
NPI: 1023617719
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA67941

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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