Individual
EMMANUELLE M CELICOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1910 GREEN ST, PHILADELPHIA, PA 19130-3207
(215) 687-7997
Mailing address
1910 GREEN ST, PHILADELPHIA, PA 19130-3207
(215) 687-7997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG009245
PA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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