Individual
MR. JOHNATHON EUGENE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1606 HOPMEADOW ST, SIMSBURY, CT 06070-1448
(860) 806-1509
Mailing address
117 HIGHLAND AVE, NEW HARTFORD, CT 06057-2026
(860) 605-3312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
03-059546
CT
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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