Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 16991-MT-MT | MA |
NPI | 1003581653 |
---|---|
Provider Name | Mrs. Lauren Angelet-Rohacik |
First Address | West Brookfield, MA 01585-3246 |
Second Address | Milford, MA 01757-3007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2021 |
Last Update Date | 14/08/2021 |