Individual
MS. LISA PONDELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 BRANCH ST, SUITE 202, METHUEN, MA 01844-1923
(978) 973-0643
Mailing address
1 BRANCH ST, SUITE 202, METHUEN, MA 01844-1923
(978) 973-0643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4747
MA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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