| Doctor Name: | MS. CAROLYN ANN STUBBS |
| NPI Number: | 1750647806 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMT, NMT |
| License Number: | 18KT00337600 |
| Business Practice Address: | 45 N Main St Suite 4 Marlboro, NJ - 077461445 |
| Business Phone Number: | 9086162088 |
| Business Fax Number: | |
| Mailing Address: | 45 North Main Street (hwy. 79), Suite 4 MARLBORO |
| State: | NJ |
| Postal Code: | 07746 |
| Phone Number: | 9086162088 |
| Fax Number: | 7327395263 |
| NPI Enumeration Date: | 04/03/2012 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | 18KT00337600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy 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. |