Individual
KELLY ANN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2257 SILAS DEANE HWY, ROCKY HILL, CT 06067-2328
(860) 538-4358
Mailing address
179 MIDDLETOWN AVE, WETHERSFIELD, CT 06109-3824
(860) 538-4358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008797
CT
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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