Individual
ALYSSA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 47TH ST, PENNSAUKEN, NJ 08110-4136
(856) 602-5551
Mailing address
1501 47TH ST, PENNSAUKEN, NJ 08110-4136
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01150000
NJ
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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