Individual
MS. MIGDALIA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14 W ROOSEVELT DR, ANSONIA, CT 06401-1328
(475) 434-5005
Mailing address
115 MAIN ST, SEYMOUR, CT 06483-3166
(475) 434-5005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004417
CT
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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