Individual
MRS. JUDY LYNN MARRIOTT-FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
873 BROADWAY, SUITE 510, NEW YORK, NY 10003-1231
(212) 253-9383
(212) 253-5713
Mailing address
873 BROADWAY, SUITE 510, NEW YORK, NY 10003-1231
(917) 297-8169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019267-1
NY
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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