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Individual

MRS. TERESA ANN MAGNOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
401 PENBROOKE DR, BLDG 2 STE C, PENFIELD, NY 14526-2041
(585) 370-5006
Mailing address
401 PENBROOKE DR, BLDG 2 STE C, PENFIELD, NY 14526-2041
(585) 370-5006

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012493
NY

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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