Individual
SUSAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1706 MEADOWVIEW LN, MONT CLARE, PA 19453-5247
(610) 933-4611
Mailing address
1706 MEADOWVIEW LN, MONT CLARE, PA 19453-5247
(610) 933-4611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG003062
PA
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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