Individual
CORALEA SCRANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/NCBTMB
Contact information
Practice address
4887 W GLEESON RD, ELFRIDA, AZ 85610-9059
(520) 508-5395
Mailing address
4887 W GLEESON RD, ELFRIDA, AZ 85610-9059
(520) 508-5395
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225700000X
Massage Therapist
1859
AR
225700000X
Massage Therapist
2000288
AZ
225700000X
Massage Therapist
Primary
9025
AR
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/23/2021
Last updated
04/12/2022
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