Individual
TANYA MASOCOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
770 OLD ROSWELL PL, SUITE I-400, ROSWELL, GA 30076-1670
(770) 906-2265
Mailing address
770 OLD ROSWELL PL, SUITE I-400, ROSWELL, GA 30076-1670
(770) 906-2265
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006794
GA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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