Individual
MISS ELLEN GAYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 E KING ST, MALVERN, PA 19355-3004
(610) 644-2595
Mailing address
PO BOX 1145, PAOLI, PA 19301-0794
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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