Individual
LARI WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 ENON ST, BEVERLY, MA 01915-1106
(978) 921-1144
Mailing address
45 ENON ST, BEVERLY, MA 01915-1106
(978) 921-1144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2985
MA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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