MR. Thomas Joseph Fasone, MASSAGE THERAPIST
NPI #1134497555 in Ormond Beach, Florida
Provider Information
- NPI Number
- 1134497555
- Entity Type
- Individual
- Name
- MR. Thomas Joseph Fasone, MASSAGE THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MASSAGE THERAPIST
- Enumeration Date
- Dec 13, 2011
- Last Updated
- Dec 13, 2011
Practice Location
- Address
- 290 CLYDE MORRIS BLVD
- Address 2
- SUITE B-2
- City
- Ormond Beach
- State
- Florida
- ZIP Code
- 32174-8130
- Phone
- (386) 258-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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