Individual
JUSTIN M ORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
4917 WILLIAM ST, SUITE A, LANCASTER, NY 14086-3200
(716) 706-0005
(716) 706-0220
Mailing address
6484 BROADWAY ST, LANCASTER, NY 14086-9555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27017513
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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