Organization
PONESSA MEDICAL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K PONESSA LMT, NCBMT (PRESIDENT)
(717) 519-6700
Entity
Organization
Contact information
Practice address
1864 OREGON PIKE, LANCASTER, PA 17601-6402
(717) 519-6700
(717) 519-6722
Mailing address
1864 OREGON PIKE, LANCASTER, PA 17601-6402
(717) 519-6700
(717) 519-6722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000413
PA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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