Doctor Name: | MARIANA PAVLOVA KAMBUROV |
NPI Number: | 1972784122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, DOM, AP |
License Number: | MA47164 |
Business Practice Address: | 6991 W Broward Blvd Suite 104 Plantation, FL - 333172907 |
Business Phone Number: | 9545840988 |
Business Fax Number: | 9544725721 |
Mailing Address: | 6991 W Broward Blvd, Suite 104 PLANTATION |
State: | FL |
Postal Code: | 333172907 |
Phone Number: | 9545840988 |
Fax Number: | 9544725721 |
NPI Enumeration Date: | 11/15/2007 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA47164 |
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. |