Individual
FAY HASSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2312 NE 9TH ST, FORT LAUDERDALE, FL 33304-3523
(954) 243-3352
Mailing address
2312 NE 9TH ST, FORT LAUDERDALE, FL 33304-3523
(954) 243-3352
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50624
FL
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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