Individual
SCOTT RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 W CENTER ST STE 204, SOUTHINGTON, CT 06489-3504
(860) 805-3261
Mailing address
37 W CENTER ST STE 204, SOUTHINGTON, CT 06489-3504
(860) 805-3261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1882
CT
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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