Individual
MS. ANNETTE O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3505 SE 17TH AVE, CAPE CORAL, FL 33904-4464
(239) 738-6767
Mailing address
3505 SE 17TH AVE, CAPE CORAL, FL 33904-4464
(239) 738-6767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52856
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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