Individual
ANGELICA COZO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14162 COLONIAL GRAND BLVD, #1402, ORLANDO, FL 32837-4837
(407) 575-7147
Mailing address
14162 COLONIAL GRAND BLVD., #1402, ORLANDO, FL 32837-4837
(407) 575-7147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42760
FL
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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