Individual
LEANNE MICHELLE FAIRCHOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
125 N ENOLA DR STE 203, ENOLA, PA 17025-2500
(717) 343-0890
Mailing address
202 VALLEY ST, ENOLA, PA 17025-1649
(717) 343-0890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011835
PA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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