Individual
MARY ALICE GENDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
159 LAKE SHORE DR, LEBANON, CT 06249-1914
(860) 951-2260
Mailing address
159 LAKE SHORE DR, LEBANON, CT 06249-1914
(860) 951-2260
(860) 951-2260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4602
CT
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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