Individual
SUSAN BACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, CMLDT
Contact information
Practice address
5 BIRCH DR STE A, BETHEL, CT 06801-1002
(203) 797-9393
Mailing address
5 BIRCH DR STE A, BETHEL, CT 06801-1002
(203) 797-9393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
003195
CT
Other
Enumeration date
08/24/2016
Last updated
01/28/2020
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