Individual
MRS. STEPHANIE MARIE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1756 MILEGROUND RD APT H, MORGANTOWN, WV 26505-3785
(304) 216-7664
Mailing address
29 PLANTATION DR, MORGANTOWN, WV 26508-2642
(304) 216-7664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2004-1472
WV
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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