Individual
CAROL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N MAIN ST, ANDOVER, MA 01810-3116
(978) 475-2266
Mailing address
209 N MAIN ST, ANDOVER, MA 01810-3116
(978) 475-2266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1533
MA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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