Individual
NANCY BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
63 BEAVER BROOK ROAD, SUITE 105, LINCOLN PARK, NJ 07035
(973) 872-6600
Mailing address
63 BEAVER BROOK ROAD, SUITE 105, LINCOLN PARK, NJ 07035
(973) 872-6600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00751500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT00751500
MASSAGE THERAPIST
NJ
Enumeration date
04/19/2018
Last updated
04/19/2018
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