Individual
CAROL COLASUONNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2217 N POWER RD APT 2039, MESA, AZ 85215-2981
(973) 494-1984
Mailing address
2217 N POWER RD APT 2039, MESA, AZ 85215-2981
(973) 494-1984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-28636
AZ
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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