Individual
JESSICA FOX HAUTZENROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 NORTH LAKEMONT AVE., WINTER PARK, FL 32792
(407) 339-2225
(407) 339-2221
Mailing address
1455 AZALEA AVE., CASSELBERRY, FL 32707
(407) 310-4119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA.319.35
FL
Other
Enumeration date
08/27/2014
Last updated
09/24/2014
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