Individual
PHYLLIS PROPHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
300 PEARL ST LOT 42, LUMBERTON, NC 28358-0441
(202) 875-3762
Mailing address
300 PEARL ST LOT 42, LUMBERTON, NC 28358-0441
(202) 875-3762
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18659
NC
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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