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Individual

ANTHONY AN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
44 COPPERFIELD CIR, LITITZ, PA 17543-9482
(717) 626-6288
Mailing address
44 COPPERFIELD CIR, LITITZ, PA 17543-9482
(717) 626-6288

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014745
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MSG014745
MASSAGE THERAPY
PA
Enumeration date
09/08/2022
Last updated
09/08/2022
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