Individual
KELLY ANN DINNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., M.M.P.
Contact information
Practice address
931 NW 9TH ST, CAPE CORAL, FL 33993-7245
(239) 225-5293
Mailing address
931 NW 9TH ST, CAPE CORAL, FL 33993-7245
(239) 225-5293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 50409
FL
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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