Individual
KATHRYN BITTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5 MAIN ST, QUEENSBURY, NY 12804-4067
(518) 798-2225
Mailing address
6 KILLDEER WAY, GRANVILLE, NY 12832-5245
(518) 321-3707
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018822-1
NY
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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