TERISA BAY RUSSELL

MAITLAND, FL
NPI1194020065
Professional NameTERISA RUSSELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA42761)
Enumeration Date2011-01-24
Last Update Date2011-04-19
Business Address
-- TERISA BAY RUSSELL LMT
110 N ORLANDO AVE
MAITLAND, FL 32751-5574
Phone number: 407-324-6454
Mailing Address
-- TERISA BAY RUSSELL LMT
2836 HUNT CLUB LN
ORLANDO, FL 32826-3912
Phone number: 407-595-9130