Individual
PETER HEIMULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
100 RESERVE RD STE C4179, DANBURY, CT 06810-5267
(203) 482-1951
Mailing address
100 RESERVE RD STE C4179, DANBURY, CT 06810-5267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
002671
CT
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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