Individual
MR. MICHAEL QUILL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
515 UPLAND ST, POTTSTOWN, PA 19464-5194
(484) 273-9674
Mailing address
884 E HIGH ST, POTTSTOWN, PA 19464-5753
(484) 273-9674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG13087
PA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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