Organization
360 NEUROMUSCULAR THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MARIE ERICKSON GORMAN CNMT, CMTPT (CO-OWNER)
(781) 444-3609
Entity
Organization
Contact information
Practice address
1077 LEXINGTON ST STE 202, WALTHAM, MA 02452-7233
(781) 444-3609
(781) 209-7301
Mailing address
1077 LEXINGTON ST STE 202, WALTHAM, MA 02452-7233
(781) 444-3609
(781) 209-7301
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
167
MA
Other
Enumeration date
07/12/2010
Last updated
02/22/2019
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