Individual
EPHRAIM OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
528 SEVEN BRIDGE RD UNIT 235, EAST STROUDSBURG, PA 18301-7618
(570) 369-2721
Mailing address
146 AZALEA DR, EAST STROUDSBURG, PA 18301-7706
(570) 369-2721
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000381
PA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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