Individual
MRS. CRYSTAL COTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 685-4222
(813) 689-3832
Mailing address
113 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 685-4222
(813) 689-3832
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA46309
FL
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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