Individual
LEELA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10 COMMERCE ST STE A, GLASTONBURY, CT 06033-4802
(860) 705-8789
Mailing address
11 PLUMTREE DRIVE, UNIT C, NORWICH, CT 06360
(860) 705-8789
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
9455
MA
225700000X
Massage Therapist
007630
CT
Other
Enumeration date
05/18/2011
Last updated
09/20/2023
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