Individual
MS. ANN DORWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1713 N COLLEGE AVE STE 1, BLOOMINGTON, IN 47404-2479
(812) 337-3529
Mailing address
1713 N COLLEGE AVE STE 1, BLOOMINGTON, IN 47404-2479
(812) 337-3529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21304964
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT21304964
LMT
IN
Enumeration date
10/06/2019
Last updated
10/06/2019
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