Marianne Fazioli
Massage Therapist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1164096442
StatusActive
Last updated in NPPESMay 19, 2021
Details
- NPI
- 1164096442
- Entity type
- Individual (NPI-1)
- Name
- Marianne Fazioli
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2021
- Certification date
- May 19, 2021
- Last updated
- May 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MSG014087 | PA | Yes |
Practice location
11 W Allens LnPhiladelphia, PA 19119-1638
Phone 267-300-8904
Mailing address
11 W Allens LnPhiladelphia, PA 19119-1638
Phone 267-300-8904
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