Individual
MRS. TONIANN IVAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
81 MAIN ST, SHARON, CT 06069-2018
(914) 456-5631
Mailing address
259 SHARON RD, MILLERTON, NY 12546-5217
(914) 456-5631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10608
CT
Other
Enumeration date
10/16/2019
Last updated
01/26/2020
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