Individual
FORREST ANN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 S LAKESHORE DR, SUITE 101, TEMPE, AZ 85283-2101
(480) 612-1176
Mailing address
5440 S LAKESHORE DR, SUITE 101, TEMPE, AZ 85283-2101
(480) 612-1176
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-02454P
AZ
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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