Individual
COREEN CROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 HUXLEY AVE, PROVIDENCE, RI 02908-2812
(413) 313-2340
Mailing address
34 HUXLEY AVE, PROVIDENCE, RI 02908-2812
(413) 313-2340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
11726
MA
225700000X
Massage Therapist
Primary
MT02478
RI
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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