Individual
AMANDA VACHARAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 ACADEMY LN, ELKINS PARK, PA 19027-2514
(267) 241-7501
Mailing address
1413 ACADEMY LN, ELKINS PARK, PA 19027-2514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG008431
PA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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