Individual
TORI PONDER-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1201 N TIOGA ST, ITHACA, NY 14850-3683
(607) 330-0957
Mailing address
1201 N TIOGA ST, ITHACA, NY 14850-3683
(607) 330-0957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031154
NY
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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