MRS. Juliet Lacaran Boltz, MASSAGE THERAPIST

NPI #1396933750 in Waterford, Connecticut

Provider Information

NPI Number: 1396933750
Entity Type: Individual
Name: MRS. Juliet Lacaran Boltz, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: MASSAGE THERAPIST
Enumeration Date: Oct 11, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 728 BROAD STREET EXT
City: Waterford
State: Connecticut
ZIP Code: 06385-1345
Phone: (860) 867-6450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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