Individual
MS. SANDRA A SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
751 ROUTE 73 N STE 11, MARLTON, NJ 08053-3456
(267) 225-1972
Mailing address
751 ROUTE 73 N STE 11, MARLTON, NJ 08053-3456
(267) 225-1972
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01344600
NJ
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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