Individual
SUSAN AYCOCK MAROTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
705 BLADEN ST, WILMINGTON, NC 28401-3527
(910) 297-0791
Mailing address
705 BLADEN ST, WILMINGTON, NC 28401-3527
(910) 297-0791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
04563
NC
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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