Individual
LORALYN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA
Contact information
Practice address
20-24 S WASHINGTON ST, BINGHAMTON, NY 13903-1710
(607) 251-2300
Mailing address
318 BEAN HILL RD, ENDICOTT, NY 13760-6508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022246
NY
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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