Organization
MUSCLE SOLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH GRUBBS LMT (LICENSE MEDICAL MASSAGE PRACTITIONE)
(209) 912-9095
Entity
Organization
Contact information
Practice address
715 VAN EMBURGH AVE, TOWNSHIP OF WASHINGTON, NJ 07676-3816
(209) 912-9095
Mailing address
715 VAN EMBURGH AVE, TOWNSHIP OF WASHINGTON, NJ 07676-3816
(209) 912-9095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18KT00528600
NJ
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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