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Individual

BRUCE NEEDHAMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCMT, HTP

Contact information

Practice address
1 FROST DR, BAYVILLE, NJ 08721-1205
(732) 600-4060
(732) 606-6012
Mailing address
1 FROST DR, BAYVILLE, NJ 08721-1205
(732) 600-4060
(732) 606-6012

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
327310-00

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
327310-00
NATIONAL CERTIFICATION BOARD FOR MASSAGE THERAPISTS
Enumeration date
05/16/2009
Last updated
08/27/2009
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