Doctor Name: | ANA MARIA G LLERENA |
NPI Number: | 1841575875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA46130 |
Business Practice Address: | 4383 Northlake Blvd Suite 309 Palm Beach Gardens, FL - 334106253 |
Business Phone Number: | 5613923341 |
Business Fax Number: | 5618295482 |
Mailing Address: | 711 Sunny Pine Way, B-1 GREENACRES |
State: | FL |
Postal Code: | 334158968 |
Phone Number: | 5613923341 |
Fax Number: | 5618295482 |
NPI Enumeration Date: | 10/21/2011 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA46130 |
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. |