Individual
VANESSA HAZZARD-TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
225 E CLAPIER ST, PHILADELPHIA, PA 19144-1804
(267) 702-0936
Mailing address
225 E CLAPIER ST, PHILADELPHIA, PA 19144-1804
(267) 702-0936
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000869
PA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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