Individual
REBECCA COUSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4464 MILTON AVE, CAMILLUS, NY 13031-1287
(315) 350-0715
Mailing address
103 RAILROAD ST APT 1, WARNERS, NY 13164-9730
(315) 350-0715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022622
NY
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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