Individual
GINA MARIE BUSOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 NORTH ST, JIM THORPE, PA 18229-2125
(570) 580-2980
Mailing address
224 SOUTH ST, JIM THORPE, PA 18229-2326
(570) 580-2980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG008684
PA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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