Individual
AHMAD ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 GILMAN ST, HARTFORD, CT 06114-2536
(860) 249-1425
Mailing address
80 GILMAN ST, HARTFORD, CT 06114
(860) 249-1425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7575
CT
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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