Individual
LISA C. WOLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., C.L.T.
Contact information
Practice address
2101 INDIAN ROCKS RD S, LARGO, FL 33774-1037
(727) 580-2288
Mailing address
13461 87TH PL, SEMINOLE, FL 33776-2613
(727) 580-2288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41731 MM17790
FL
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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