Individual
MARY BETH ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4019 BETHLEHEM PIKE, TELFORD, PA 18969-1126
(267) 446-7830
Mailing address
4019 BETHLEHEM PIKE, TELFORD, PA 18969-1126
(267) 446-7830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001190
PA
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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