Individual
ELISE WARSHAVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
80 POMPTON AVE STE 304, VERONA, NJ 07044-2913
(973) 857-1119
Mailing address
80 POMPTON AVE STE 304, VERONA, NJ 07044-2913
(973) 857-1119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01375400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT01375400
LICENSE
NJ
Enumeration date
10/30/2020
Last updated
10/30/2020
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