Individual
EMILY RAE BORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6 N WEST ST STE 1, HOMER, NY 13077-1068
(607) 591-0052
Mailing address
6 N WEST ST STE 1, HOMER, NY 13077-1068
(607) 591-0052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028029
NY
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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