Individual
LAUREEN G ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7166 BOSTON STATE RD, HAMBURG, NY 14075-6933
(716) 208-9975
Mailing address
3307 N BOSTON RD, EDEN, NY 14057-9528
(716) 992-4752
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012974-1
NY
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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