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Individual

MRS. BERNADETTE LICATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT,NCTMB

Contact information

Practice address
8 COUNTRY CLUB CIR, PLYMOUTH MEETING, PA 19462-2519
(610) 209-0344
Mailing address
8 COUNTRY CLUB CIR, PLYMOUTH MEETING, PA 19462-2519
(610) 209-0344

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000151
PA

Other

Enumeration date
09/04/2008
Last updated
01/24/2012
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