MRS. Mariellen L Porter, C.M.T.

NPI #1710005582 in East Stroudsburg, Pennsylvania

Provider Information

NPI Number: 1710005582
Entity Type: Individual
Name: MRS. Mariellen L Porter, C.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: C.M.T.
Enumeration Date: Mar 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: RR 2 BOX 2172-A
Address 2: PINE RIDGE ROAD
City: East Stroudsburg
State: Pennsylvania
ZIP Code: 18301-9636
Phone: (570) 223-2204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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