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Organization

MASSAGE AND FITNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK BOYER LMT,CPT,AT (OWNER)
(203) 984-5980
Entity
Organization

Contact information

Practice address
83 EAST AVE, SUITE 313, NORWALK, CT 06851-4902
(203) 984-5980
(203) 286-8779
Mailing address
5 OAK ST, NORWALK, CT 06854-4105
(203) 984-5980
(203) 286-8779

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
T58152
CT
2255A2300X
Athletic Trainer
225700000X
Massage Therapist
Primary
002967
CT

Other

Enumeration date
02/22/2012
Last updated
02/22/2012
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