Individual
REBECCA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3381 W MAIN ST, SUITE 1, ST CHARLES, IL 60175-1008
(630) 377-7788
Mailing address
3381 W MAIN ST, SUITE 1, ST CHARLES, IL 60175-1008
(630) 377-7788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.004643
IL
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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