Individual
MRS. LISA WINGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
89 REGENT TER, MILFORD, CT 06460-4953
(203) 243-1114
Mailing address
89 REGENT TER, MILFORD, CT 06460-4953
(203) 243-1114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
003357
CT
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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