Individual
COLLEEN M FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1570 LAS PALMOS DR SW, PALM BAY, FL 32908-1120
(321) 506-9134
Mailing address
1570 LAS PALMOS DRIVE SW, PALM BAY, FL 32908
(321) 506-9134
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52016
FL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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