Individual
HEATHER ELAINE MORTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 FLORIDA AVE, SUITE C, PALM HARBOR, FL 34683-4331
(727) 772-1966
Mailing address
43 PINEWOOD CIR, SAFETY HARBOR, FL 34695-5421
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA35086
FL
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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