Individual
DEBRA SUSAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
2425 CLOVER ST, ROCHESTER, NY 14618-4517
(585) 734-3267
Mailing address
2425 CLOVER ST, ROCHESTER, NY 14618-4517
(585) 734-3267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007641
NY
Other
Enumeration date
03/10/2008
Last updated
04/19/2012
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