Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 9948 | MA |
NPI | 1003217779 |
---|---|
Provider Name | Mr. Eric Christopher Hon |
First Address | Somerville, MA 02145-3241 |
Second Address | Lexington, MA 02421-7715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2014 |
Last Update Date | 11/09/2014 |