Individual
MRS. PORNIPA SUTTHIMAITREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 MAIN ST, HYANNIS, MA 02601-4301
(508) 333-2001
Mailing address
677 W MAIN ST, HYANNIS, MA 02601-3493
(508) 790-0606
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5886
MA
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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