Individual
LISA MARIE ERICKSON GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 HIGHLAND CIR, NEEDHAM, MA 02494-3099
(781) 444-3609
Mailing address
35 IRMA AVE # 1, WATERTOWN, MA 02472-3530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9922
MA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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