Anthony Fondren LMT

NPI 1790059962 - Massage Therapist - 225700000X

NPI Details
NPI 1790059962
Gender Male
Enumeration Date 03/05/2012
Last Updated 03/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4405 N HOLLAND SYLVANIA RD
SUITE 101
TOLEDO OH, 43623-3529, US
Phone (419) 345-0195
Fax
Business Location
2049 TREMAINSVILLE RD
#2
TOLEDO OH, 43613-3969, US
Phone (419) 345-0195
Fax
Toxanomy
Taxonomy Code 225700000X
License State Ohio
License Number 17917
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According to our database, Mr. Anthony Fondren LMT NPI is 1790059962, taxonomy code is 225700000X and license number is 17917, license state is located at Ohio. Anthony Fondren LMT physically located at 4405 N Holland Sylvania Rd, Toledo OH, 43623-3529. NPI Number Anthony Fondren LMT has the Individual type.

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1790059962 NPI number is provided on an as is basis without warranty of any kind. 1790059962 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Fondren LMT are for informational purposes only.