Individual
KATHLEEN MARY FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7803 RIVERWOOD OAKS DR, RIVERVIEW, FL 33578-8633
(630) 244-4127
Mailing address
7803 RIVERWOOD OAKS DR, RIVERVIEW, FL 33578-8633
(630) 244-4127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA101214
FL
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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