Jack Brett Passarella, LMT

NPI #1497279376 in Berlin, New Jersey

Provider Information

NPI Number: 1497279376
Entity Type: Individual
Name: Jack Brett Passarella, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 1, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 12 W TAUNTON AVE
City: Berlin
State: New Jersey
ZIP Code: 08009-1442
Phone: (856) 768-6444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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