Individual
KATHLEEN A PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
295 BENT OAK CT, LEESBURG, FL 34748-9559
(352) 728-8575
Mailing address
295 BENT OAK CT, LEESBURG, FL 34748-9559
(352) 728-8575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58290
FL
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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