Individual
CHANTAL K MARCEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2529 W BUSCH BLVD, STE 1000, TAMPA, FL 33618-4545
(813) 933-3463
Mailing address
1462 VILLENA AVE, APT 203, TAMPA, FL 33612-5038
(813) 943-5180
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56809
FL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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