Individual
SARAH ROSE FOUGEROUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
13295 ILLINOIS ST, SUITE 310, CARMEL, IN 46032-3019
(317) 549-5047
Mailing address
13295 ILLINOIS ST, SUITE 310, CARMEL, IN 46032-3019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901112
IN
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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