Individual
PETER E. LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 HIGHLANDS FARM RD, YARMOUTH, ME 04096-5755
(207) 310-0674
Mailing address
640 CONGRESS ST, PORTLAND, ME 04101-3305
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5037
ME
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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