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NPI Code Detail

MEDICARE: RAPHAELLE O'NEIL

MEDICARE:   RAPHAELLE  O'NEIL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist1347LA

General Provider Information

NPI Number : 1447635933
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAPHAELLE O'NEIL
Provider Business Mailing Address
First Line : PO BOX 791107
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70179-1107
Country : US
Telephone Number : 504-975-0054
Fax Number :
Provider Business Practice Location Address
First Line : 1758 N TONTI ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-1555
Country : US
Telephone Number : 504-975-0054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2015
Last Update Date : 07/25/2015

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Directions to “ RAPHAELLE O'NEIL ” Practice Location

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