MS. Susan Catherine Fasold, LMT

NPI #1568695666 in Longwood, Florida

Provider Information

NPI Number
1568695666
Entity Type
Individual
Name
MS. Susan Catherine Fasold, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Aug 24, 2009
Last Updated
Aug 24, 2009

Practice Location

Address
2949 W STATE ROAD 434
Address 2
SUITE 100
State
Florida
ZIP Code
32779-4458
Phone
(407) 421-2347

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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