Organization
EASTERN THERAPEUTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL PAVIS LMT (MASSAGE THERAPIST)
(860) 800-9180
Entity
Organization
Contact information
Practice address
336 MAIN ST STE B, CROMWELL, CT 06416-2349
(860) 800-9180
Mailing address
32 CORTLAND ST, WEST HARTFORD, CT 06110-1406
(860) 800-9180
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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