Individual
MISS CRYSTAL KOHLBRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA52011
Contact information
Practice address
1824 W WATERS AVE, TAMPA, FL 33604-1004
(813) 932-0203
(813) 932-6701
Mailing address
1824 W WATERS AVE, TAMPA, FL 33604-1004
(813) 932-0203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52011
FL
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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