Individual
HEATHER OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1705 NW 6TH ST, GAINESVILLE, FL 32609-3531
(703) 581-7058
Mailing address
1705 NW 6TH ST, GAINESVILLE, FL 32609-3531
(703) 581-7058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 58230
FL
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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