Individual
MS. LISA MARIE BERNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3539 RYAN AVE FL 1, PHILADELPHIA, PA 19136-4313
(215) 776-7415
Mailing address
3539 RYAN AVE FL 1, PHILADELPHIA, PA 19136-4313
(215) 776-7415
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001342
PA
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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