Individual
MRS. MARIA VANDEWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLT LMT
Contact information
Practice address
1111 RT 22 EAST, LEBANON, NJ 08833
(908) 397-5557
Mailing address
1 SADDLEBROOK DR, WASHINGTON, NJ 07882-4007
(908) 397-5557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01127300
NJ
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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