Individual
MS. HEATHER NICOLE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
570 OCEAN DR., #501, JUNO BEACH, FL 33408
(954) 491-2225
(954) 491-6862
Mailing address
10518 SW 53RD ST, COOPER CITY, FL 33328
(754) 204-8466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA55869
STATE OF FLORIDA
FL
Enumeration date
08/26/2009
Last updated
08/26/2009
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