Individual
JENNIFER CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
121 BUTTERNUT ST APT A, MIDDLETOWN, CT 06457-3020
(860) 336-8737
Mailing address
121 BUTTERNUT ST APT A, MIDDLETOWN, CT 06457-3020
(860) 336-8737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2461
CT
Other
Enumeration date
11/09/2006
Last updated
08/19/2014
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