Individual
MARK SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
296 SOUND BEACH AVE, OLD GREENWICH, CT 06870-1626
(203) 698-2965
Mailing address
296 SOUND BEACH AVE, OLD GREENWICH, CT 06870-1626
(203) 698-2965
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005132
CT
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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