| NPI | 1194114868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R JOYNER Licensed Massage Therapist 860-721-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 6859) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |