Individual
FARA MANIACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3266 RESOURCE PARKWAY, DEKALB, IL 60115
(815) 756-8524
(815) 756-1841
Mailing address
3266 RESOURCE PARKWAY, DEKALB, IL 60115
(815) 756-8524
(815) 756-1841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016940
IL
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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