Individual
IBSEN OVIEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
41 LOVATT ST, NORWALK, CT 06851-4127
(203) 981-6810
Mailing address
41 LOVATT ST, NORWALK, CT 06851-4127
(203) 981-6810
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9828
CT
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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