Organization
BODYWORKS ETC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARIE PORCINO C.M.T. (PRESIDENT)
(570) 620-7540
Entity
Organization
Contact information
Practice address
ROUTE 314, POCONO MANOR, PA 18349
(570) 839-0140
Mailing address
PO BOX 29, CRESCO, PA 18326-0029
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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