Individual
DANA MOLDENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5403 STORK CT, TAMPA, FL 33625-1920
(813) 312-8834
Mailing address
5403 STORK CT, TAMPA, FL 33625-1920
(813) 312-8834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 61737
FL
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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