Christine Licciardello, LMT
NPI #1265105837 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1265105837
- Entity Type
- Individual
- Name
- Christine Licciardello, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jul 29, 2021
- Last Updated
- Jul 29, 2021
Practice Location
- Address
- 12 BROOK PLACE
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-0700
- Phone
- (973) 303-2112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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