Individual
ANTHONY FERRARACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 78 BOX 46A, PIPESTEM, WV 25979-9710
(304) 466-1767
Mailing address
HC 78 BOX 46A, PIPESTEM, WV 25979-9710
(304) 466-1767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2008-2378
WV
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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