Individual
SARAH ALICE SALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4600 SMICK STREET, PHILADELPHIA, PA 19127
(610) 246-8001
Mailing address
4600 SMICK STREET, PHILADELPHIA, PA 19127
(610) 246-8001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000443
PA
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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