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Organization
MYOFASCIAL RELEASE AND WOMEN'S HEALTH LLC
Active
Organization
MYOFASCIAL RELEASE AND WOMEN'S HEALTH LLC
Active
Other names
Myofascial Release and Women's Health LLC, Holistic Health Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN J HENNESSY DPT (MGR)
(813) 482-5765
Entity
Organization
Contact information
Practice address
1527 DALE MABRY HWY STE 105, LUTZ, FL 33548-3031
(813) 482-5765
Mailing address
21514 CORMORANT COVE DR, LAND O LAKES, FL 34637-7523
(813) 482-5765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063681526
—
FL
Enumeration date
05/30/2024
Last updated
05/30/2024
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