Organization
THE WELLNESS JOURNEY STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARIE BAKER-BRADLEY LMT (SOLE PROPRIETOR)
(866) 577-8344
Entity
Organization
Contact information
Practice address
685 PLEASANT ST, BROCKTON, MA 02301-3072
(866) 577-8344
Mailing address
685 PLEASANT ST, BROCKTON, MA 02301-3072
(866) 577-8344
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
THERAPEUTIC MASSAGE THERAPY
MA
Enumeration date
04/22/2013
Last updated
04/22/2013
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