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Gina Marie Debernardo
Massage Therapist in Port Orange, Florida
NPI 1407047285

Gina Marie Debernardo is a Massage Therapist based in Port Orange, FL. Gina Marie Debernardo practices in Port Orange, FL. The NPI Number for Gina Marie Debernardo is 1407047285 and holds a License No. MA30379 (Florida).

The current practice location address for Gina Marie Debernardo is 713 Pine Forest Trl E, Port Orange, FL and can be reached out via phone at 386-405-0588.

Location: 713 Pine Forest Trl E, Port Orange, FL, 32127-4872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407047285
Provider Name
Gina Marie Debernardo
Credential
Provider Entity Type
Individual
Gender
Female
Address
713 Pine Forest Trl E, Port Orange, FL, 32127-4872
Phone Number
386-405-0588
Fax Number
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
713 Pine Forest Trl E
City
Port Orange
State
Florida
Zip
32127-4872
Phone Number
386-405-0588
Fax Number
person
Provider Business Mailing Address Details
Address
713 Pine Forest Trl E
City
Port Orange
State
Florida
Zip
32127-4872
Phone Number
386-405-0588
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA30379 (Florida)
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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