MS. Carla Jean Vandenburgh, MASSAGE THERAPIST

NPI #1124368683 in Belleville, Illinois

Provider Information

NPI Number: 1124368683
Entity Type: Individual
Name: MS. Carla Jean Vandenburgh, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Feb 20, 2013
Last Updated: Feb 20, 2013

Practice Location

Address: 1600 LEBANON AVE STE 101
City: Belleville
State: Illinois
ZIP Code: 62221-2491
Phone: (618) 978-7407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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