Individual
PETERSEN SETH PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1381 E PUTNAM AVE, OLD GREENWICH, CT 06870-1303
(203) 637-3399
Mailing address
850 PACIFIC ST APT 441, STAMFORD, CT 06902-7369
(203) 309-8642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008176
CT
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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