Individual
PATRICIA DUNCAN CHABAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
402 JEFFERSON ST, BRIDGEPORT, PA 19405-1512
(610) 864-5475
Mailing address
402 JEFFERSON ST, BRIDGEPORT, PA 19405-1512
(610) 864-5475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG002261
PA
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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