Individual
LISA BETH MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 N BROAD ST, NORWICH, NY 13815-1311
(607) 226-4884
Mailing address
PO BOX 586, NORWICH, NY 13815-0586
(607) 226-4884
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021061
NY
Other
Enumeration date
03/14/2008
Last updated
08/28/2008
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