Individual
BRANDI MICHELLE POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7051 CYPRESS TERR., #106, FORT MYERS, FL 33907-8801
(239) 590-9555
Mailing address
7051 CYPRESS TERR., #106, FORT MYERS, FL 33907-8801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53699
FL
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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