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Individual

AMY RAE COUTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
250 GREEN HOLLOW RD, DANIELSON, CT 06239-4251
(860) 315-2054
Mailing address
250 GREEN HOLLOW RD, DANIELSON, CT 06239-4251
(860) 315-2054

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008512
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008512
MASSAGE LICENSE
CT
01
008512
LICENSE MASSAGE
Enumeration date
05/16/2018
Last updated
05/16/2018
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