Individual
MARTHA SAN PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. MASSAGE THERAPI
Contact information
Practice address
1 CORBETT WAY, EATONTOWN, NJ 07724-4247
(973) 432-1685
Mailing address
73D DORCHESTER DR, LAKEWOOD, NJ 08701-6691
(973) 432-1685
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00497700
NJ
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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