Doctor Name: | MS. PAMELA RAE KAURANEN-DIROCCO |
NPI Number: | 1457544777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.T. |
License Number: | MA50215 |
Business Practice Address: | 1125 12th St Ste E Vero Beach, FL - 329603791 |
Business Phone Number: | 7727788890 |
Business Fax Number: | |
Mailing Address: | 626 19th Pl Sw, VERO BEACH |
State: | FL |
Postal Code: | 329627014 |
Phone Number: | 7725675458 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA50215 |
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. |