MR. Justin Michael Shay I, L.M.T

NPI #1134406382 in Bridgeport, Connecticut

Provider Information

NPI Number
1134406382
Entity Type
Individual
Name
MR. Justin Michael Shay I, L.M.T
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
L.M.T
Enumeration Date
Nov 15, 2011
Last Updated
Nov 15, 2011

Practice Location

Address
2889 FAIRFIELD AVE
ZIP Code
06605-3211
Phone
(203) 212-0278

Specialties & Taxonomy Codes

Specialty
Specialist

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