Individual
PRATHIBHA KULAKKUZHIYIL BALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 FINNEGAN LN, NORTH BRUNSWICK, NJ 08902-1061
(732) 658-6070
(888) 828-3316
Mailing address
22N READING RD, EDISON, NJ 08817-2184
(952) 495-4196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01280800
NJ
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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