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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA42355 (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.