Individual
MS. STACIE HAMAI OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
167 BROAD ST, GROTON, CT 06340-3644
(860) 448-6766
(860) 449-6754
Mailing address
167 BROAD ST, GROTON, CT 06340-3644
(860) 448-6766
(860) 449-6754
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
003691
CT
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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