Individual
MS. HOLLY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
156 KINGS HWY, GROTON, CT 06340-3436
(860) 861-8978
Mailing address
15 MELLOW CT # 1, PAWCATUCK, CT 06379-7921
(860) 861-8978
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
005385
CT
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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