Provider Demographics
NPI:1194143651
Name:CHRISTIA, TOCCARA E (LMT,NMT)
Entity type:Individual
Prefix:MRS
First Name:TOCCARA
Middle Name:E
Last Name:CHRISTIA
Suffix:
Gender:F
Credentials:LMT,NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 NW 162ND ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-6539
Mailing Address - Country:US
Mailing Address - Phone:305-725-6508
Mailing Address - Fax:
Practice Address - Street 1:2335 NW 162ND ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-6539
Practice Address - Country:US
Practice Address - Phone:305-725-6508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA39769225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist