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Alex Earl Bench, LMT

Massage Therapist in Lake Mary, FL. Individual provider (NPI-1).

NPI number1699345207
StatusActive
Last updated in NPPESJun 26, 2021

Details

NPI
1699345207
Entity type
Individual (NPI-1)
Name
Alex Earl Bench
Credential
LMT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 26, 2021
Certification date
Jun 26, 2021
Last updated
Jun 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist92421FLYes

Other names

  • Sonny Alexander Lorrius (Former Name)

Practice location

1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096

Phone 407-305-6993

Mailing address

610 Ellendale Dr
Winter Park, FL 32792-2758

Phone 407-462-2514

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