Doctor Name: | MS. XUEQING WANG DITTRICH |
NPI Number: | 1578815239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA70075 |
Business Practice Address: | 2831 Ringling Blvd Ste 113d Sarasota, FL - 342375363 |
Business Phone Number: | 9413637968 |
Business Fax Number: | |
Mailing Address: | 2610 Coconut Bay Ln Unit 2c, SARASOTA |
State: | FL |
Postal Code: | 342373056 |
Phone Number: | 9419144801 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2012 |
NPI Last Update Date: | 10/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA70075 |
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. |