Individual
CAROLYN GILLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
462 MAIN ST STE 200, BETHLEHEM, PA 18018-5844
(610) 625-4040
Mailing address
462 MAIN ST STE 200, BETHLEHEM, PA 18018-5844
(610) 625-4040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG008227
PA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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