Fanny Susana Colmont, LMT
Massage Therapist in Boca Raton, FL. Individual provider (NPI-1).
NPI number1891024360
StatusActive
Last updated in NPPESDec 13, 2009
Details
- NPI
- 1891024360
- Entity type
- Individual (NPI-1)
- Name
- Fanny Susana Colmont
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2009
- Last updated
- Dec 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA 48050 | FL | Yes |
Practice location
21601 Woodstream TerBoca Raton, FL 33428-2402
Phone 954-695-2903
Mailing address
21601 Woodstream TerBoca Raton, FL 33428-2402
Phone 954-695-2903
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