Individual
MISS MARY ELIZABETH RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 BRIDGE STREET, CARTHAGE, NY 13619
(315) 486-7137
Mailing address
PO BOX 175, BEAVER FALLS, NY 13305-0175
(315) 486-7137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018793
NY
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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