Provider Demographics
NPI:1548477375
Name:FUHRMANN, PATRICIA T (LMT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:T
Last Name:FUHRMANN
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 1:100 E KENTUCKY AVE
Mailing Address - Street 2:# H5
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-2375
Mailing Address - Country:US
Mailing Address - Phone:352-216-1222
Mailing Address - Fax:
Practice Address - Street 1:1107 E SILVER SPRINGS BLVD
Practice Address - Street 2:#4
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6758
Practice Address - Country:US
Practice Address - Phone:352-216-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA30735225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist