Individual
DEBRALEE L FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
149 FOSTER RD, SMYRNA, NY 13464-2710
(607) 627-6208
Mailing address
149 FOSTER RD, SMYRNA, NY 13464-2710
(607) 627-6208
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012013
NY
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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