Individual
HEIDI DAHLGREN
Active
Individual
HEIDI DAHLGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
41432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687645500
—
FL
Enumeration date
08/10/2006
Last updated
05/11/2011
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