Individual
MR. HENRY I DE GROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4 HIRAM RD, FRAMINGHAM, MA 01701-2608
(617) 448-3539
Mailing address
4 HIRAM RD, FRAMINGHAM, MA 01701-2608
(617) 448-3539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2754-MT
MA
Other
Enumeration date
07/14/2013
Last updated
07/14/2013
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