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Charles James Piazza, LMT

Massage Therapist in Manasquan, NJ. Individual provider (NPI-1).

NPI number1164036430
StatusActive
Last updated in NPPESSep 3, 2020

Details

NPI
1164036430
Entity type
Individual (NPI-1)
Name
Charles James Piazza
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 3, 2020
Certification date
Sep 3, 2020
Last updated
Sep 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist18KT00593300NJYes

Practice location

112 Atlantic Ave
Manasquan, NJ 08736-2904

Phone 732-456-4857

Mailing address

53 W Holly Dr
Beach Haven, NJ 08008-6119

Phone 732-456-4857

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