Individual
MS. MARY ELIZABETH FERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
1119 20TH ST, HUNTINGTON, WV 25703-2021
(304) 522-7553
Mailing address
1116 11TH AVE, HUNTINGTON, WV 25701-3546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012-3019
WV
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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