Individual
ANGELA BETH DISALVATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1740 SOUTH ST, STE 503, PHILADELPHIA, PA 19146-1572
(215) 913-2552
Mailing address
1740 SOUTH ST STE 503, PHILADELPHIA, PA 19146-1572
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG002640
PA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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