Individual
HEATHER MARIE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3213 FORMOSA AVE APT A, ORLANDO, FL 32804-3953
(407) 556-5693
Mailing address
3213 FORMOSA AVE APT A, ORLANDO, FL 32804-3953
(407) 556-5693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA95749
FL
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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