SEAN BENTON
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1700750080- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 377 MAIN ST # 110, WEST HAVEN, CT, 065164311
- Phone
- (203) 627-5082
Specialties & Taxonomies
Massage Therapist
Primary License: CT #11457