Individual
MARIELLEN MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
52 CHURCH ST, ROCKY HILL, CT 06067-1516
(860) 966-1981
Mailing address
52 CHURCH ST, ROCKY HILL, CT 06067-1516
(860) 966-1981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010355
CT
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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