Individual
MRS. LANI DOVE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1735 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2719
(860) 268-1367
Mailing address
1735 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2719
(860) 268-1367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006238
CT
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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