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Ms. Pattya Jean Ganjanathavat, LMT
Massage Therapist in Milford, Connecticut
NPI 1619486073

Pattya Jean Ganjanathavat is a Massage Therapist based in Shelton, CT. Pattya Jean Ganjanathavat practices in Milford, CT and has the professional credentials of LMT. The NPI Number for Pattya Jean Ganjanathavat is 1619486073 and holds a License No. 9711 (Connecticut).

The current practice location address for Pattya Jean Ganjanathavat is 163 Broad St, Milford, CT and can be reached out via phone at 203-513-9594.

Location: 163 Broad St, Milford, CT, 06484-5708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619486073
Provider Name
Pattya Jean Ganjanathavat
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
163 Broad St, Milford, CT, 06484-5708
Phone Number
203-513-9594
Fax Number
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
163 Broad St
City
Milford
State
Connecticut
Zip
06460-4726
Phone Number
203-513-9594
Fax Number
person
Provider Business Mailing Address Details
Address
163 Broad St
City
Milford
State
Connecticut
Zip
06460-4726
Phone Number
203-513-9594
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
9711 (Connecticut)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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