Doctor Name: | MISS SANDRA ROLDAN |
NPI Number: | 1174847321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA44797 |
Business Practice Address: | 1801 S Ocean Dr Suite E Hallandale Beach, FL - 330094945 |
Business Phone Number: | 9543917864 |
Business Fax Number: | 9543918468 |
Mailing Address: | 304 W Hallandale Beach Blvd, Hallandale Beach , Fl 33009 HALLANDALE BEACH |
State: | FL |
Postal Code: | 330095444 |
Phone Number: | 9544544280 |
Fax Number: | 9549223841 |
NPI Enumeration Date: | 03/17/2010 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA44797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |