Individual
BOONTHARIKA PIYAKULPINYO BRASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
300 MIDDLETOWN BLVD STE 103, LANGHORNE, PA 19047-3202
(267) 963-8329
Mailing address
2106 LARDNER ST, PHILADELPHIA, PA 19149-3528
(267) 963-8329
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG016086
PA
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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