Individual
MS. MARY PRENOSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1295 STATE ST # L038, SPRINGFIELD, MA 01111-0001
(413) 744-5965
Mailing address
790 MORGAN RD, WEST SPRINGFIELD, MA 01089-4335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2018
MA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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