Individual
MELISSA CLEVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
229 W UPSAL ST, SUITE 916, PHILADELPHIA, PA 19119-4039
(610) 392-0581
Mailing address
229 W UPSAL ST, SUITE 916, PHILADELPHIA, PA 19119-4039
(610) 392-0581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000047
PA
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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