Bernadette Moran, LMT, CMLDT

NPI #1386092567 in Lake Bluff, Illinois

Provider Information

NPI Number: 1386092567
Entity Type: Individual
Name: Bernadette Moran, LMT, CMLDT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, CMLDT
Enumeration Date: May 29, 2016
Last Updated: May 29, 2016

Practice Location

Address: 14 E NORTH AVE
City: Lake Bluff
State: Illinois
ZIP Code: 60044-2132
Phone: (630) 347-7234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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