Marissa Rose Feola
Massage Therapist in Long Branch, NJ. Individual provider (NPI-1).
NPI number1962017699
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1962017699
- Entity type
- Individual (NPI-1)
- Name
- Miss Marissa Rose Feola
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2020
- Certification date
- Sep 9, 2020
- Last updated
- Sep 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 18KT00733700 | NJ | Yes |
Practice location
242 Branchport AveLong Branch, NJ 07740-5957
Phone 973-349-2541
Mailing address
242 Branchport AveLong Branch, NJ 07740-5957
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