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Bethany Vivo-pelliccia
Massage Therapist in Montclair, New Jersey
NPI 1164193926

Bethany Vivo-pelliccia is a Massage Therapist based in Montclair, NJ. Bethany Vivo-pelliccia practices in Montclair, NJ. The NPI Number for Bethany Vivo-pelliccia is 1164193926 and holds a License No. 012059 (New Jersey).

The current practice location address for Bethany Vivo-pelliccia is 11 Pine St Apt 214, Montclair, NJ and can be reached out via phone at 973-988-3755.

Location: 11 Pine St Apt 214, Montclair, NJ, 07042-4373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164193926
Provider Name
Bethany Vivo-pelliccia
Credential
Provider Entity Type
Individual
Gender
Female
Address
11 Pine St Apt 214, Montclair, NJ, 07042-4373
Phone Number
973-988-3755
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
854258486 01 NJ NA
institution
Provider Business Practice Location Address Details
Address
11 Pine St Apt 214
City
Montclair
State
New Jersey
Zip
07042-4373
Phone Number
973-988-3755
Fax Number
person
Provider Business Mailing Address Details
Address
11 Pine St Apt 214
City
Montclair
State
New Jersey
Zip
07042-4373
Phone Number
973-988-3755
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
012059 (New York)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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