Individual
MS. LISA DIQUOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 ALDEN RD, ORLANDO, FL 32803-1403
(407) 898-7911
(407) 898-7912
Mailing address
127 W FAIRBANKS AVE, NO. 240, WINTER PARK, FL 32789-4326
(407) 312-7876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42355
FL
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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