Individual
LYDIA NICOLE MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
728 S 4TH ST, PHILADELPHIA, PA 19147-3120
(215) 922-3235
Mailing address
728 S 4TH ST, PHILADELPHIA, PA 19147-3120
(215) 280-3823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011032
PA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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