Individual
ELITA ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
730 HEBRON AVE, GLASTONBURY, CT 06033-5016
(860) 410-4490
(860) 410-4492
Mailing address
730 HEBRON AVE, GLASTONBURY, CT 06033-5016
(860) 410-4490
(860) 410-4492
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8062
CT
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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