Individual
MR. EVAN JAMES PIASECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
100 MARKET SQ, SUITE 1, NEWINGTON, CT 06111-2921
(860) 770-0954
Mailing address
100 MARKET SQ, SUITE 1, NEWINGTON, CT 06111-2921
(860) 770-0954
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007224
CT
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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