Individual
MR. LARRY MICHAEL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2730 ELLWOOD RD, NEW CASTLE, PA 16101-6276
(724) 730-0549
Mailing address
316 ROBERTS LN, NEW CASTLE, PA 16105-1326
(724) 657-9574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33. 010521
OH
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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