Juliet Lacaran Boltz MASSAGE THERAPIST

NPI 1396933750 - Mechanotherapist - 172M00000X

NPI Details
NPI 1396933750
Gender Female
Enumeration Date 10/11/2007
Last Updated 10/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
728 BROAD STREET EXT
WATERFORD CT, 06385-1345, US
Phone (860) 867-6450
Fax (860) 437-4567
Business Location
728 BROAD STREET EXT
WATERFORD CT, 06385-1345, US
Phone (860) 867-6450
Fax (860) 437-4567
Toxanomy
Taxonomy Code 172M00000X
License State Connecticut
License Number 002683
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According to our database, Mrs. Juliet Lacaran Boltz MASSAGE THERAPIST NPI is 1396933750, taxonomy code is 172M00000X and license number is 002683, license state is located at Connecticut. Juliet Lacaran Boltz MASSAGE THERAPIST physically located at 728 Broad Street Ext, Waterford CT, 06385-1345. NPI Number Juliet Lacaran Boltz MASSAGE THERAPIST has the Individual type.

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1396933750 NPI number is provided on an as is basis without warranty of any kind. 1396933750 is maintained by the National Plan & Provider Enumeration System. The contents of Juliet Lacaran Boltz MASSAGE THERAPIST are for informational purposes only.