Marissa Lynn Modha

NPI #1346055829 in Bel Air, Maryland

Provider Information

NPI Number: 1346055829
Entity Type: Individual
Name: Marissa Lynn Modha
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 11, 2025
Last Updated: Feb 11, 2025

Practice Location

Address: 1131 BEL AIR RD STE 101
City: Bel Air
State: Maryland
ZIP Code: 21014-5132
Phone: (352) 263-1293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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