Individual
LAURA LYNN COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMT
Contact information
Practice address
7 SHAFTSBURY HOLLOW RD, EAGLE BRIDGE, NY 12057-3145
(518) 686-7460
Mailing address
7 SHAFTSBURY HOLLOW RD, EAGLE BRIDGE, NY 12057-3145
(518) 686-7460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
VT
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/30/2010
Last updated
01/30/2010
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