Individual
MISS BETHANY WISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 PHILLIPS RD, HIGHLAND LAKES, NJ 07422-2248
(973) 557-0601
Mailing address
405 PHILLIPS RD, HIGHLAND LAKES, NJ 07422-2248
(973) 557-0601
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00914500
NJ
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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