Individual
MR. PHILIP ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
1008 WINSOME CT, RALEIGH, NC 27603-9364
(315) 398-0309
Mailing address
1008 WINSOME CT, RALEIGH, NC 27603-9364
(315) 398-0309
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19978
NC
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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