Individual
MARK LARAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
160 N CRAIG ST, SUITE 212, PITTSBURGH, PA 15213-2716
(412) 687-1234
Mailing address
160 N CRAIG ST, SUITE 212, PITTSBURGH, PA 15213-2716
(412) 687-1234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG005968
PA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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