Individual provider · Type 1 NPI

Lisa Diquollo

Massage Therapist · Orlando, FL

NPI number 1942536305 Active

Practice location

1910 Alden Rd
Orlando, FL 32803-1403

Fax (407) 898-7912

Mailing address

127 W Fairbanks Ave, No. 240
Winter Park, FL 32789-4326

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA42355 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1942536305

Lisa Diquollo's National Provider Identifier is 1942536305, issued on Oct 20, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orlando, FL. The record was last updated on Oct 20, 2009.