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Organization

FABRIC SPA, LLC

Active
Other names
Fabriq Spa
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GABRIELLE MELISSA APPLEBAUM L.AC.,M.AC.,DIPL.AC. (OWNER)
(215) 922-3235
Entity
Organization

Contact information

Practice address
728 S 4TH ST, PHILADELPHIA, PA 19147-3120
(215) 922-3235
Mailing address
728 S 4TH ST, PHILADELPHIA, PA 19147-3120
(215) 922-3235

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AK000670
PA
171100000X
Acupuncturist
Primary
AK001056
PA
171100000X
Acupuncturist
AK001210
PA
225700000X
Massage Therapist
MSG004229
PA
225700000X
Massage Therapist
MSG007572
PA
225700000X
Massage Therapist
MSG008665
PA
225700000X
Massage Therapist
MSG011032
PA

Other

Enumeration date
05/05/2017
Last updated
05/05/2017
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