Female

Prathibha Kulakkuzhiyil Balan

Massage Therapist in North Brunswick, NJ(View on Map)

Full Name

Prathibha Kulakkuzhiyil Balan

NPI Number

1669968194

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/09/2018

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

18KT01280800

Contact
Information

Purpose

Mailing
Location

Address

22N READING RD
1503 FINNEGAN LN

City

Edison
North Brunswick

State

NJ
NJ

Postal Code

08817-2184
08902-1061

Country

US
US

Telephone Number

(952) 495-4196
(732) 658-6070

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2018

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