Individual
MICHELE A. DE VITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB, LMT
Contact information
Practice address
207 MAIN RD, MONTVILLE, NJ 07045-9727
(973) 615-6519
Mailing address
207 MAIN RD, MONTVILLE, NJ 07045-9727
(973) 615-6519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00470800
NJ
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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