Individual
LISAMARIE BONCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75 REDWOOD DR UNIT 904, EAST HAVEN, CT 06513-1976
(203) 530-9909
Mailing address
75 REDWOOD DR UNIT 904, EAST HAVEN, CT 06513-1976
(203) 530-9909
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11103
CT
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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