Individual
CRYSTAL BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
18 COMPUTER DR W, SUITE 111, ALBANY, NY 12205-1616
(518) 522-7297
Mailing address
221 10TH ST, TROY, NY 12180-2927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27 023766
NY
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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