Individual
LAURA DASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2242 PERIWINKLE WAY, SUITE 2, SANIBEL, FL 33957-4010
(239) 395-5858
Mailing address
8162 COUNTRY RD, UNIT 206, FORT MYERS, FL 33919-7142
(239) 851-3710
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59019
FL
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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