Organization
OMED INC.
Active
Other names
Great Day Massage Works
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK ANTHONY OLIVER LMT (PROPRIETOR)
(570) 476-4317
Entity
Organization
Contact information
Practice address
146 AZALEA DR, EAST STROUDSBURG, PA 18301-7706
(570) 476-4317
Mailing address
146 AZALEA DR, EAST STROUDSBURG, PA 18301-7706
(570) 476-4317
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MSG000382
PA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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