Individual
LISA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 DAVID ST, WINTER SPRINGS, FL 32708-2614
(407) 416-5556
Mailing address
604 DAVID ST, WINTER SPRINGS, FL 32708-2614
(407) 416-5556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 33071
FL
Other
Enumeration date
11/21/2010
Last updated
11/21/2010
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