Individual
THANIT PRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 PRINCETON ST STE 212, NORTH CHELMSFORD, MA 01863-1681
(978) 424-6789
Mailing address
25 ROCKLAND ST # 1, FITCHBURG, MA 01420-7636
(978) 424-6789
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2295
MA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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