Individual
IVA PROVIAS LESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
901 WESTERN AVE STE 201, PITTSBURGH, PA 15233-1719
(412) 626-2648
Mailing address
901 WESTERN AVE STE 201, PITTSBURGH, PA 15233-1719
(412) 626-2648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG010189
PA
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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