Provider Demographics
NPI:1649598483
Name:ORELUS, NANCY (MASSAGETHERAPIST)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:ORELUS
Suffix:
Gender:F
Credentials:MASSAGETHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 PARKVIEW DR APT 618C
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2806
Mailing Address - Country:US
Mailing Address - Phone:954-993-3881
Mailing Address - Fax:
Practice Address - Street 1:2500 PARK VIEW DR. APT#618C
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009
Practice Address - Country:US
Practice Address - Phone:954-993-3881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22412247225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist