Individual
ELIAS B SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 REYNOLDS DR, FAIRFIELD, CT 06824-4600
(646) 641-3646
Mailing address
63 REYNOLDS DR, FAIRFIELD, CT 06824-4600
(646) 641-3646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29009813
CT
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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