Individual
DALIA RAQUEL BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2257 SILAS DEANE HWY STE 1, ROCKY HILL, CT 06067-2328
(860) 728-9450
Mailing address
186 MIDDLETOWN AVE, WETHERSFIELD, CT 06109-3805
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009562
CT
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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