Individual
MARCUS JULIAN WEGHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4325 SANSOM ST, PHILADELPHIA, PA 19104-6403
(445) 787-0994
Mailing address
4325 SANSOM ST, PHILADELPHIA, PA 19104-6403
(445) 787-0994
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG015424
PA
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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