Individual
MR. LARRY WITZLEBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
631 N HYER AVE, ORLANDO, FL 32803-4629
(407) 447-3469
Mailing address
631 N HYER AVE, ORLANDO, FL 32803-4629
(407) 447-3469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0014390
FL
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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