Individual
TAMISHA BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
828 MCKINLEY CT, PRINCETON, NJ 08540-1687
(732) 620-3127
Mailing address
828 MCKINLEY CT, PRINCETON, NJ 08540-1687
(732) 620-3127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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