| Bethany Vivo-pelliccia, | |
|
11 Pine St Apt 214, Montclair, NJ 07042-4373 | |
| (973) 988-3755 | |
| Not Available |
| Full Name | Bethany Vivo-pelliccia |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 11 Pine St Apt 214, Montclair, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164193926 | NPI | - | NPPES |
| 854258486 | Other | NJ | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 012059 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Vivo-pelliccia, 11 Pine St Apt 214, Montclair, NJ 07042-4373 Ph: (973) 988-3755 | Bethany Vivo-pelliccia, 11 Pine St Apt 214, Montclair, NJ 07042-4373 Ph: (973) 988-3755 |
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