Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2883 | MA |
NPI | 1003132655 |
---|---|
Provider Name | Megan Monahan |
First Address | Andover, MA 01810-3116 |
Second Address | Andover, MA 01810-3116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2010 |
Last Update Date | 07/04/2010 |