Individual
LAURIE ZBOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7320 ROUTE 20, MADISON, NY 13402
(315) 750-0737
Mailing address
3438 STATE ROUTE 12B, BOUCKVILLE, NY 13310-1804
(315) 750-0737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017721
NY
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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