Individual
KATTIE FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 SW 11TH PL, CAPE CORAL, FL 33991-2920
(404) 312-3736
Mailing address
1317 SW 11TH PL, CAPE CORAL, FL 33991-2920
(404) 312-3736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
56837
FL
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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