Organization
SPECIALIZED THERAPEUTIC MASSAGE OF CNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ANDREW BRAHS LMT (OWNER)
(315) 569-3472
Entity
Organization
Contact information
Practice address
112 DEWITT ST, SYRACUSE, NY 13203-2890
(315) 569-3472
Mailing address
24 CAROL DR, CAMILLUS, NY 13031-2229
(315) 569-3472
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
026057
NY
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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