Individual
SHERRI COSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 POINT BREEZE AVE, PHILADELPHIA, PA 19146-4522
(215) 463-4762
Mailing address
722 S ITHAN ST, PHILADELPHIA, PA 19143-2810
(215) 747-4361
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG003285
PA
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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