Individual
LORIE K PEARSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3723 CLARK RD, MORRISVILLE, NY 13408-1836
(315) 391-1228
Mailing address
3723 CLARK RD, MORRISVILLE, NY 13408-1836
(315) 391-1228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026339
NY
Other
Enumeration date
02/23/2014
Last updated
02/25/2014
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