Individual
NICOLE MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
316 N WASHINGTON ST, ROME, NY 13440-5121
(315) 339-9100
Mailing address
316 N WASHINGTON ST, ROME, NY 13440-5121
(315) 339-9100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025603
NY
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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