Individual
IVY PESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCLMBT
Contact information
Practice address
551 BURMA RD W, MARION, NC 28752-5583
(828) 527-8144
Mailing address
121 LENA ST, MARION, NC 28752-6263
(828) 527-8144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18533
NC
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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