Individual
ARDALAN FASSIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
100 CAMPBELL CIR UNIT 9, DOWNINGTOWN, PA 19335-3226
(610) 608-0959
Mailing address
100 CAMPBELL CIR UNIT 9, DOWNINGTOWN, PA 19335-3226
(610) 608-0959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG006218
PA
Other
Enumeration date
08/10/2013
Last updated
08/10/2013
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