Individual
SAVANNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
37 RIVER RD, SARANAC, NY 12981-2603
(518) 645-3411
Mailing address
37 RIVER RD, SARANAC, NY 12981-2603
(518) 645-3411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018839
NY
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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