Individual
JILL AMMIRATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
158 OAKLAND AVE, AUDUBON, NJ 08106-2322
(215) 380-8082
Mailing address
158 OAKLAND AVE, AUDUBON, NJ 08106-2322
(215) 380-8082
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT0091200
NJ
225700000X
Massage Therapist
MSG011537
PA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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