Individual
LAURA MADELINE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
708 ROUTE 134, SUITE 4, SOUTH DENNIS, MA 02660-3062
(508) 292-1014
Mailing address
708 ROUTE 134, SUITE 4, SOUTH DENNIS, MA 02660-3062
(508) 292-1014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7787
MA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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