Individual
MARVIN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 SYLVIA CT, HYDE PARK, MA 02136-1240
(617) 401-1395
Mailing address
2 SYLVIA CT, HYDE PARK, MA 02136-1240
(617) 401-1395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1794
MA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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