Individual
MRS. LAURA DISARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2913 CORRINE DR, ORLANDO, FL 32803-2227
(407) 629-7757
Mailing address
12764 FORESTEDGE CIR, ORLANDO, FL 32828-8605
(407) 625-9085
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
54932
FL
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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