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NPI Code Detail

MEDICARE: THELMA LYNN POLLARD

MEDICARE:   THELMA LYNN POLLARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist83693FL

General Provider Information

NPI Number : 1730925678
Entity Type Code : Individual
Provider Name (Legal Business Name) : THELMA LYNN POLLARD
Provider Business Mailing Address
First Line : 3808 DUNES RD
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2348
Country : US
Telephone Number : 561-294-5254
Fax Number :
Provider Business Practice Location Address
First Line : 408 E OCEAN AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-4542
Country : US
Telephone Number : 561-294-5254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2024
Last Update Date : 07/01/2024

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Directions to “ THELMA LYNN POLLARD ” Practice Location

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