Individual
JENNIFER L FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
25 WILLIAM ST, EAST HARTFORD, CT 06108-2656
(860) 402-5373
Mailing address
25 WILLIAM ST, EAST HARTFORD, CT 06108-2656
(860) 402-5373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006749
CT
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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