Individual
MR. BOB BRIAN SHUMILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCLMT
Contact information
Practice address
294 PLEASANT ST, SUITE 201, STOUGHTON, MA 02072-2571
(781) 344-0720
Mailing address
294 PLEASANT ST, SUITE 201, STOUGHTON, MA 02072-2571
(781) 344-0720
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4369
MA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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