Individual
DERRICK JOHN SLANINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2882 W LIBERTY AVE FL 2, PITTSBURGH, PA 15216-2622
(412) 999-4612
Mailing address
2882 W LIBERTY AVE FL 2, PITTSBURGH, PA 15216-2622
(412) 999-4612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG006876
PA
Other
Enumeration date
10/18/2019
Last updated
04/22/2021
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