Individual
MR. KENNETH BRADLEY LENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T., B.S.
Contact information
Practice address
190 WONX SPRING RD, PLANTSVILLE, CT 06479-1444
(203) 936-9525
Mailing address
783 ORANGE CENTER RD., ORANGE, CT 06477
(203) 936-9525
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005787
CT
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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