Individual
SHANE CHRISTOPHER FOISY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 GRAYSON DR, SOUDERTON, PA 18964-2293
(215) 964-7984
Mailing address
1001 GRAYSON DR, SOUDERTON, PA 18964-2293
(215) 964-7984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014268
PA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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