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William Brevard III
Massage Therapist in Anaheim, California
NPI 1124626916

William Brevard III is a Massage Therapist based in Anaheim, CA. William Brevard III practices in Anaheim, CA. The NPI Number for William Brevard III is 1124626916 and holds a License No. 48803 (California).

The current practice location address for William Brevard III is 1645 W Palm Ln Apt 32, Anaheim, CA and can be reached out via phone at 714-926-2370.

Location: 1645 W Palm Ln Apt 32, Anaheim, CA, 92802-2022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124626916
Provider Name
William Brevard III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1645 W Palm Ln Apt 32, Anaheim, CA, 92802-2022
Phone Number
714-926-2370
Fax Number
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1645 W Palm Ln Apt 32
City
Anaheim
State
California
Zip
92802-2022
Phone Number
714-926-2370
Fax Number
person
Provider Business Mailing Address Details
Address
1645 W Palm Ln Apt 32
City
Anaheim
State
California
Zip
92802-2022
Phone Number
714-926-2370
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
48803 (California)
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.
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