Provider Demographics
NPI:1588964563
Name:MAY, VERONICA CRISTINA (LMT)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:CRISTINA
Last Name:MAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MISS
Other - First Name:VERONICA
Other - Middle Name:CRISTINA
Other - Last Name:MOITOSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:219 ASHBY STATE RD
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-2083
Mailing Address - Country:US
Mailing Address - Phone:978-345-1224
Mailing Address - Fax:978-345-1418
Practice Address - Street 1:17B PIERCE AVE
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7111
Practice Address - Country:US
Practice Address - Phone:978-345-1224
Practice Address - Fax:978-345-1418
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2488225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist