Individual
LISA EMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 E EVESHAM RD STE 109, VOORHEES, NJ 08043-4502
(917) 651-7896
Mailing address
2301 E EVESHAM RD STE 109, VOORHEES, NJ 08043-4502
(609) 332-0176
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01371500
NJ
Other
Enumeration date
06/03/2020
Last updated
11/06/2020
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