Individual
LEA ROSEMARIE THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERIPAST
Contact information
Practice address
305 S CHURCH ST, SUITE 115, HAZLETON, PA 18201-7605
(570) 497-4766
(570) 245-3899
Mailing address
305 S CHURCH ST, SUITE 115, HAZLETON, PA 18201-7605
(570) 497-4766
(570) 245-3899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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