Individual
KHACHORNPHIT WONGYAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HARVARD ST, BROOKLINE, MA 02445-7951
(857) 405-4567
Mailing address
8 KIMBALL CT APT 911, BURLINGTON, MA 01803-3872
(571) 290-1799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18086
MA
Other
Enumeration date
04/15/2024
Last updated
04/17/2024
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