Individual
STEPHANIE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 FAYETTE ST, MANLIUS, NY 13104-1804
(315) 396-1905
Mailing address
208 FAYETTE ST, MANLIUS, NY 13104-1804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023251
NY
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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