Individual
SAMUEL CARSON STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMTPT
Contact information
Practice address
5824 FORBES AVE, SUITE D, PITTSBURGH, PA 15217-1646
(412) 580-8708
Mailing address
5824 FORBES AVE, SUITE D, PITTSBURGH, PA 15217-1646
(412) 580-8708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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