| NPI | 1457825515 |
|---|---|
| Former Legal Business Name | INFANT MASSAGE LLC |
| Entity Type | Organization |
| Authorized Contact | LETICIA S. JACQUET Physical Therapist/Owner 860-251-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2020-09-30 |