Individual
MR. MICHAEL FANARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1133 CITTA CT, TOMS RIVER, NJ 08753-8362
(732) 505-6759
Mailing address
1133 CITTA CT, TOMS RIVER, NJ 08753-8362
(732) 505-6759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26BT00014700
NJ
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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