Individual
PINYAPATCH CHANYATHUNYAROJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
588 MOUNT AUBURN ST, WATERTOWN, MA 02472-4124
(617) 396-1752
Mailing address
191 BUCKNAM ST, EVERETT, MA 02149-1221
(617) 396-1752
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13051
MA
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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