Individual
COLLEEN MARY LESOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
520 MIDDLE GROVE RD, MIDDLE GROVE, NY 12850-1109
(518) 888-2527
Mailing address
520 MIDDLE GROVE RD, MIDDLE GROVE, NY 12850-1109
(518) 888-2527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028487
NY
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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