Individual
SAMANTHA TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 SHORE DR, SUITE 104, WORCESTER, MA 01605-3154
(508) 853-7500
Mailing address
91A HARBOR ST, PEPPERELL, MA 01463-1261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8914
MA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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