Individual
MS. CAROL LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LMT
Contact information
Practice address
1729 EMPIRE BLVD APT 60, WEBSTER, NY 14580-2172
(585) 671-7333
Mailing address
1729 EMPIRE BLVD APT 60, WEBSTER, NY 14580-2172
(585) 671-7333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017881-1
NY
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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