Individual
JANICE ANNE HARTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7680 CAMBRIDGE MANOR PL, SUITE 100, FORT MYERS, FL 33907-3671
(239) 288-0900
Mailing address
17780 CALOOSA RD, ALVA, FL 33920-3301
(239) 332-3356
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA46855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA46855
FLORIDA LICENSE NUMBER
FL
Enumeration date
02/14/2012
Last updated
02/14/2012
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