Individual
MS. MARIE CHRISTINE EDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB
Contact information
Practice address
3521 EUCLID AVE, APT 2, BERWYN, IL 60402-4731
(405) 999-6016
Mailing address
3521 EUCLID AVE, APT 2, BERWYN, IL 60402-4731
(405) 999-6016
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.008701
IL
Other
Enumeration date
12/26/2007
Last updated
07/29/2015
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