Individual
MARCIE LYNN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
659 N CITRUS AVE, CRYSTAL RIVER, FL 34428-3922
(352) 563-0068
Mailing address
116 PINE ST, HOMOSASSA, FL 34446-4657
(352) 228-1595
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA47512
FL
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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