Individual provider · Type 1 NPI

Gina Marie Debernardo

Massage Therapist · Port Orange, FL

NPI number 1407047285 Active

Practice location

713 Pine Forest Trl E
Port Orange, FL 32127-4872

Call (386) 405-0588 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA30379 (FL)

Massage Therapist: 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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About NPI 1407047285

Gina Marie Debernardo's National Provider Identifier is 1407047285, issued on Aug 6, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orange, FL. The record was last updated on Jan 22, 2009.