Individual
MR. JOHN G. VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
15 COURT SQ, BOSTON, MA 02108-2503
(617) 959-4022
Mailing address
15 COURT SQ, BOSTON, MA 02108-2503
(617) 959-4022
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0510
MA
Other
Enumeration date
05/08/2009
Last updated
12/16/2010
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