Individual
ANTHONY JAMES DATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4036 QUAIL BUSH DR, DAYTON, OH 45424-4740
(937) 304-5620
Mailing address
4036 QUAIL BUSH DR, DAYTON, OH 45424-4740
(937) 304-5620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.021213
OH
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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