Individual
ANGELA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
9407 CYPRESS LAKE DR, SUITE C, FORT MYERS, FL 33919-0910
(239) 333-1450
Mailing address
6730 MOSSY GLEN DR, FORT MYERS, FL 33908-4772
(708) 204-4562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA74523
FL
Other
Enumeration date
07/05/2014
Last updated
07/05/2014
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