Most Relevant Information
Provider Data
| NPI Number: | 1003642281 |
| Provider Name: | ABBAY E GOURLEY LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 105524 |
Most Important Dates
| Enumeration Date: | 09/12/2024 |
| Last Updated: | 09/17/2024 |
Provider Practice Location
226 NW 7TH AVE
DANIA BEACH
FL
330042733
Practice Location Phone/Fax
| Phone: | 9014389091 |
| Fax: |
Provider Mailing Location
226 NW 7TH AVE
DANIA BEACH
FL
330042733
Provider Mailing Phone/Fax
| Phone: | 9014389091 |
| Fax: |