Individual
MELANIE LANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
221 CHURCH ST, PHOENIXVILLE, PA 19460-3413
(610) 662-7209
Mailing address
521 ELM AVE, PHOENIXVILLE, PA 19460-3324
(610) 662-7209
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG008817
PA
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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