Individual
BARBARANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
551 BROAD ST, WAVERLY, NY 14892-1502
(607) 222-0697
Mailing address
RR 5 BOX 5237, TOWANDA, PA 18848-9378
(570) 265-7231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017336-1
NY
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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