Individual
AMY MARIE DUBENETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
642 HILLIARD ST STE 1317, MANCHESTER, CT 06042-2705
(860) 807-6689
Mailing address
627 CENTER ST APT 1, MANCHESTER, CT 06040-3946
(860) 807-6689
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009027
CT
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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