Individual
LEONID BRIMSHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SHEA LN, TINTON FALLS, NJ 07724-9741
(732) 567-0553
Mailing address
1 SHEA LN, TINTON FALLS, NJ 07724-9741
(732) 567-0553
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00570800
NJ
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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