Provider Demographics
NPI:1508062878
Name:SERAFINI-HASKELL, CARA MICHELLE (NCTMB)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:MICHELLE
Last Name:SERAFINI-HASKELL
Suffix:
Gender:F
Credentials:NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 E TEMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-2420
Mailing Address - Country:US
Mailing Address - Phone:215-258-0398
Mailing Address - Fax:
Practice Address - Street 1:63 E TEMPLE AVE
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-2420
Practice Address - Country:US
Practice Address - Phone:215-258-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist