Individual
KELLY LYNN GRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
103 NORTH ST, TRUMBULL, CT 06611-5120
(203) 377-9855
Mailing address
103 NORTH ST, TRUMBULL, CT 06611-5120
(203) 377-9855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005789
CT
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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