Individual
LEEANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 WHISPERING WINDS DR, HARRISVILLE, NY 13648-3293
(315) 408-5013
Mailing address
35 WHISPERING WINDS DR, HARRISVILLE, NY 13648-3293
(315) 408-5013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024175
NY
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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