Individual
ALLEN ARBUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
47 OAK ST STE 280, STAMFORD, CT 06905-5320
(203) 596-9715
Mailing address
47 OAK ST STE 280, STAMFORD, CT 06905-5320
(203) 596-9715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007216
CT
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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