Provider Demographics
NPI:1174825970
Name:SABATINI, MARIE D (LMT)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:D
Last Name:SABATINI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 CURLY FERN LANE
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-2699
Mailing Address - Country:US
Mailing Address - Phone:386-740-9106
Mailing Address - Fax:
Practice Address - Street 1:605 CURLY FERN LN
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-2699
Practice Address - Country:US
Practice Address - Phone:386-740-9106
Practice Address - Fax:386-677-7463
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA47952225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist