MR. Eric Jerome Green, LMT

NPI #1518638923 in Monroe, Connecticut

Provider Information

NPI Number: 1518638923
Entity Type: Individual
Name: MR. Eric Jerome Green, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 24, 2021
Last Updated: Sep 24, 2021

Practice Location

Address: 73 GREENWOOD LN
City: Monroe
State: Connecticut
ZIP Code: 06468-2406
Phone: (917) 576-3023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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