Individual
BENJAMIN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 MAIDEN LN, 1 FLOOR, VERNON ROCKVL, CT 06066-3707
(860) 559-4676
Mailing address
26 MAIDEN LN, 1 FLOOR, VERNON ROCKVL, CT 06066-3707
(860) 559-4676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006831
CT
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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