Individual
CHERYL MARIE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 BROAD ST, GROTON, CT 06340-3644
(860) 448-6766
Mailing address
167 BROAD ST, GROTON, CT 06340-3644
(860) 448-6766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009236
CT
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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