Individual
MRS. REGINA MARY NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.C.T.M.
Contact information
Practice address
1418 MAIN ST, SUITE 104, PECKVILLE, PA 18452-2048
(570) 885-6734
Mailing address
1418 MAIN ST, SUITE 104, PECKVILLE, PA 18452-2048
(570) 885-6734
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
567964-08
NCBTMB NATIONAL CERTIFICATION INTHERAPEUTIC MASSAGE
PA
Enumeration date
02/08/2010
Last updated
02/08/2010
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