Individual
MS. LESLIE P AMATRUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
60 AUGUR ROAD EXT, NORTHFORD, CT 06472-1511
(203) 484-6786
Mailing address
60 AUGUR ROAD EXT, NORTHFORD, CT 06472-1511
(203) 484-6786
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
005471
CT
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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