Doctor Name: | MRS. GRACE OKON PAUL-XAVIER |
NPI Number: | 1639477672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA-21007 |
Business Practice Address: | 2655 E Oakland Park Blvd Ste 6 Fort Lauderdale, FL - 333061608 |
Business Phone Number: | 9545649536 |
Business Fax Number: | 9545149298 |
Mailing Address: | 191 Ne 210th St, MIAMI |
State: | FL |
Postal Code: | 331791008 |
Phone Number: | 9542949403 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2011 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA-21007 |
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. |