Individual
MR. MICHAEL JAMES PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
130 RIDGE AVE, BEN AVON, PA 15202-2008
(412) 608-9269
Mailing address
130 RIDGE AVE, BEN AVON, PA 15202-2008
(412) 608-9269
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
33.016031-N-R
OH
225700000X
Massage Therapist
Primary
MSG001701
PA
Other
Enumeration date
10/18/2017
Last updated
03/17/2018
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