Individual
MITZIE LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
697 WASHINGTON ST, SUITE 202, NEWTON, MA 02458-1388
(617) 800-6066
Mailing address
697 WASHINGTON ST, SUITE 202, NEWTON, MA 02458-1388
(617) 800-6066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7569
MA
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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