Individual
ALEXANDRA B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16 WALL ST, COLCHESTER, CT 06415-1161
(860) 537-2202
Mailing address
267 SKINNER LN, HEBRON, CT 06248-1352
(860) 228-8530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005478
CT
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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