Individual
MICHEL R VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
64 W FARMS RD, FLORENCE, MA 01062-9704
(413) 320-9601
Mailing address
64 W FARMS RD, FLORENCE, MA 01062-9704
(413) 320-9601
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6163
MA
Other
Enumeration date
01/18/2009
Last updated
08/30/2012
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